Abstract
Vascular tone and body fluid volume, the two dominant factors that determine arterial blood pressure, are controlled by the kidneys. Because of this, the kidneys play a central role in the regulation of normal arterial pressure and the development of hypertensive disorders [1–4]. Hypertension in kidney disease may be initiated by either increased cardiac output, increased total peripheral vascular resistance or both, but it is usually sustained by the latter [5–9]. The mechanism of the elevated total peripheral vascular resistance is multifactorial and complex. Although one mechanism, such as hyperreninemia or excessive sodium-fluid volume may be operational to initiate or maintain hypertension, it is more often that multiple mechanisms, in varying degrees at different stages, contribute to sustain hypertension [1, 3, 10–15] (Table 1).
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References
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Cheigh, J.S., Stenzel, K.H., Rubin, A.L. (1986). Hypertension in Kidney Disease. In: Cheigh, J.S., Stenzel, K.H., Rubin, A.L. (eds) Hypertension in Kidney Disease. Developments in Nephrology, vol 14. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-4271-4_1
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