Interní Med. 2009; 11(1): 21-24

The elderly patient with chronic renal insufficiency

prof. MUDr. Václav MONHART CSc^1,2

¹ III. interní oddělení, Ústřední vojenská nemocnice Praha

² Interní klinika 1. LF UK a ÚVN, KlinLab s. r. o., Praha

Diabetic nephropathy, hypertonic and atherosclerotic kidney injury, chronic glomerulonephritis, chronic intersticial nephritis and

obstructive uropathy represent the most frequent causation of chronic renal insufficiency in elderly patients. The risk factors for high

incidence of chronic kidney diseases are aging of population, increasing numbers of diabetes mellitus, obesity and hypertension. The topical

problem of vast bulk of chronic kidney diseases is progression to end-stage renal disease and increased cardiovascular morbidity.

The goal of treatment is to modify classical and renal specific risk factors for cardiovascular disease. The most important measures for

both delaying or avoiding end-stage renal disease and reduction in risk of cardiovascular complications are blood pressure control

(< 130/80 mm Hg) and decrease in proteinuria.

Keywords: Key words: chronic renal insufficiency, diabetic nephropathy, hypertensive nephropathy, ischemic nephropathy.

Published: March 1, 2009  Show citation