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Editor's Correspondence
January 26, 2004

Achieved vs Initial Blood Pressure in Predicting Renal Outcomes

Arch Intern Med. 2004;164(2):223. doi:10.1001/archinte.164.2.223-a

I read with interest and some bewilderment the recent post hoc analysis of the Reduction of Endpoints in NIDDM with the Angiotensin II Antagonist Losartan (RENAAL) study.1 The report concluded that baseline blood pressure (BP), especially systolic blood pressure (SBP), was a strong predictor of renal outcomes and that those with the highest baseline pulse pressure (PP) had the highest risk for nephropathy progression.1