Diuretic-Based Treatment and Cardiovascular Events in Patients With Mild Renal Dysfunction Enrolled in the Systolic Hypertension in the Elderly Program

Abstract
INCREASED SERUM creatinine levels, a marker of renal dysfunction, are an independent predictor of cardiovascular events such as stroke and coronary artery events. Hypertension can accelerate renal dysfunction, and renal dysfunction can cause or worsen hypertension. Both increase the risk of cardiovascular complications.1 In about 1 of 3 patients with hypertension, renal dysfunction develops that is characterized by abnormal serum creatinine levels,2 and hypertension is a major cause of renal failure, second only to diabetes mellitus.3