Renal Outcomes in High-Risk Hypertensive Patients Treated With an Angiotensin-Converting Enzyme Inhibitor or a Calcium Channel Blocker vs a Diuretic

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Abstract
The prevalence of end-stage renal disease (ESRD) has doubled in the United States during the last decade and is expected to double again by the year 2010.1 Patients with ESRD experience substantial cardiovascular morbidity and mortality; in ad-dition, health costs related to ESRD exceed $12 billion annually.1 It is estimated that more than 10 million Americans have chronic kidney disease and are at high risk of developing ESRD.2 Therefore, therapeutic interventions that slow decline in renal function in patients with chronic kidney disease are important.3