Bp ?

[music61]

I have noticed that most people on here have bp in the 110-120 over 70s. When mine was there my nephrologist expressed concern it was too low. He wants it to be in the 130s over 80s. Any thoughts on this.

[Hidden]

From my reading, it can also be affected by age, body type, and lifestyle. Many physicians look at the whole picture. My cardiologist expects me to keep mine under 135/80. This morning it was 134/64. When I submit my monthly average he rarely makes an issue about a few random high or low readings.

[music61 in reply to Hidden]

Thanks

[orangecity41 NKF Ambassador in reply to Hidden]

Agree Mr K. Age, body type, lifestyle etc all play into it. My BP is generally 110 to120 over 60-70.

[Charlene_Coxhead]

Ive always had low blood pressure, it never gets into the 100s generally sits at 85 over 46. My consultant has always said as long as I have no symptoms it's ok. As time has gone on I'm having to consider my low blood pressure as just about to start home HD and will need to manage any decreases. Also something I had never considered was when I get my transplant the new kidney will be use to a higher blood pressure so will have to be given medication to increase mine and then slowly reduce it to give time for the Kidney to adjust.

To me 130 over 80 is high normal on charts you see. I would have thought 120 over 70 is a much places to be. Your consultant has their reasons so I would ask them when you see them.

[Philipjm]

Hi,

Controlling your body is important, high no is one of the causes of kidney failure.

My consultant team wantmy no noyto exceed 130, mine is normally 122/25-75.

All sorts of stimuli can affect your no. When newly starting dialysis you will be anxious and this may raise your levels, if to high leave for a few minutes and take again.

Oh you have levels to high for your consultant you may be prescribed medication to bring under control.

I have just started my 7.5 hour nocturnal session and have a bp of 107:66:88.

When I first started had my no droppedtoghe 80’s which is to low for me, A bolus of saline, 100 mm soon sorted.

We are all different and need individual hd prescriptions.

Work with your renal team and I am sure it will be ok,

Dialysis is “huge” and very scary at first but once you settle into a routine it can and for me has been life transforming.

Wishing you well in your journey.

Philip

[Northfields]

I've been exactly in your situation. Unfortunately there isn't 100% consensus on the ideal blood pressure for CKD. I had to change nephrologists after moving to Germany for a new job. A professor of nephrology in the top 10 nephrologists and blood pressure specialists in Germany expressed the same concern as your nephrologist, warning me that 110/120 over 70s would lead to kidney failure long term so I should reduce my medicine to reach 130 over 80, although I also suffer proteinuria.

Due to his superb reputation and professional manner I followed his advice and only realised after my GFR had fallen from 60 to 38 that my previous nephrologists' treatment giving me 110/120 over around 70 had been ideal because they had stabilised my kidney funciton for decades. Sadly on increasing my dosage to return to my original lower BP I only managed to recover my GFR to 40 and now have additional issues due to the irreversible loss of kidney function (excessive uric acid and urea and a potassium restriction). I feel stupid that I hadn't noticed sooner - the distinguished German nephrologist kept changing the way he communicated my GFR to me and wrote in his report that my kidney function was stable although it was rapidly declining. I regret not having stuck to previous advice from the less prestigious nephrologists in Belgium who had stabilised my kidney function for decades. They had even recovered my kidney function after several episodes of acute kidney failure when I had allergic reactions to medicines taken for other health issues. I'm sorry if hearing about my experience makes you anxious, but I hope that my unnecessary kidney loss will serve as a warning to others.