Results: The mean daily salt excretion was 9.9 ± 2.6 g. BP and eGFR were not different among for groups. However, incidence of overt proteinuria was significantly higher in the first quartile (Q1: 23%, Q2: 9%, Q3: 2%, Q4: 2%, p < 0.001). Conclusion: Low daily salt excretion was correlated with proteinuria in non-diabetic patients. Although the cause and effect relationship between salt intake and proteinuria could not be determined in BAY 73-4506 this study, low daily
salt excretion could be a marker for proteinuria in non-diabetic outpatients. AHMAD ISABEL1, YANG YATING ADONSIA1,2, LAU TITUS1,2, SETHI SUNIL1,2, TEO BOON WEE1,2, LIN TINGXUAN1,2, TOH QI CHUN1,2, CHONG YUE TING1,2, LI JIALING1,2 1National University Health System, Singapore; 2National University of Singapore, Singapore Introduction: Clinical practice guidelines recommend using 2 or more anti-hypertensive agents to control blood pressure (BP) to targets in chronic kidney disease (CKD) patients. The impact of the number of medications on the components of BP (systolic, SBP; diastolic, DBP) in Asian CKD patients is unclear. We assessed the effects of the number of anti-hypertensive agents on BP components
Ibrutinib in a multi-ethnic Asian population of stable CKD patients. Methods: We prospectively recruited 613 patients (male 55.1%, Chinese 74.7%, Indian 6.4%, Malay 11.4%, Others 7.5%; 35.7% diabetes) with mean age 57.8 ± 14.5 years. BP was measured according to guidelines using calibrated automatic manometers. Glomerular filtration rate (GFR) was estimated using the CKD-EPI equation. ANOVA was used to compare means of BP components with number of anti-hypertensive medications, and Tukey-Kramer HSD for pairwise comparisons. Linear regression was used to assess associations of BP with continuous variables. Non-normally distributed data was natural log-transformed for analyses. Results: The mean SBP was 139 ± 21 mmHg, DBP
74 ± 11 mmHg, serum creatinine 166 ± 115 μmol/L, and GFR 53 ± 32 mL/min/1.73 m2. SBP increased with lower GFR (p < 0.001), whereas DBP decreased with lower GFR (p = 0.0052). Mean SBP increased with increasing number of antihypertensive agents used (p < 0.001), whereas mean DBP decreased with ≥3 antihypertensive Bcl-w agents used (p = 0.0020, Table 1). Conclusions: Clinical practice guidelines recommend different component BP targets for CKD patients. Increasing number of antihypertensive agents use results in a divergence in the achievement of targets. Further research into improved methods of monitoring and treatment is required to better achieve targets. SHIMIZU HIDEKI, KANAME SHINYA, KAWASHIMA SOKO, IKEGAYA NORIKO, HAYAKAWA SATOSHI, FUKUOKA KAZUHITO, KARUBE MIHO, KOMAGATA YOSHINORI, ARIMURA YOSHIHIRO, YAMADA AKIRA First Department of Internal Medicine, Kyorin University School of Medicine Introduction and Purpose: We aimed to examine the hypothesis that renoprotective effect of angiotensin II (AngII) receptor blocker telmisartan may be associated with obesity.