Review Article

Hypertension in Chronic Kidney Disease: Navigating the Evidence

Table 1

Selected factors that may cause hypertension in chronic kidney disease*.

FactorDominant Mechanism

Impaired sodium excretionExpansion of ECF volume
Activation of RASDirect vasoconstriction
Sympathetic activation
Sympathetic activationDirect vasoconstriction
Stimulation of renin release
Imbalance in prostaglandins or kininsVasoconstriction
EndothelinDirect vasoconstriction
Renal injury
Reduced nitric oxideLoss of vasodilator effect

*See text for detail. ECF: extracellular fluid; RAS: renin-angiotensin system.