Blood Pressure in Non Diabetic Patients With C K D

20 12 cadigo guide lines recommend using an ac inhibitor or an arb for first line treatment of hypertension in patience with c k d. This is really related to the blood pressure independent effects of ras inhibitors. And this is attributed to reducing integral marler hyper tension, and therefore reducing albumunuria in most respects. But i should say, even in patient with ou kno lesser degrees of albuminria with non divetic c k d, usually would still be our first choice blood pressure agent if they have any albumineria or evidence of ck d.