Hypertensive Kidney Disease Treatment in United Arab Emirates

• Clinical assessment:
  • Blood Pressure Assessment: Measure blood pressure repeatedly using appropriate technique to establish the presence and severity of hypertension. Home or ambulatory blood-pressure monitoring may also be used when clinically appropriate to assess blood-pressure patterns and support treatment decisions.
  • Kidney Function Assessment: Blood tests include serum creatinine and estimated glomerular filtration rate (eGFR) to determine how effectively the kidneys filter blood.
  • Urine and Albumin Assessment: Urinalysis and the urine albumin-to-creatinine ratio (UACR) identify blood, protein, and albumin leakage into the urine.
  • Cardiovascular and Laboratory Assessment: Additional investigations may include electrolytes, blood urea nitrogen, a complete blood count, blood glucose or HbA1c, a lipid profile, and other tests based on the patient's medical history.
  • Assessment for Other Causes: When hypertension or kidney dysfunction is unusually severe, develops at a young age, progresses rapidly or has atypical features, doctors may investigate secondary causes such as renal artery disease, endocrine disorders or other kidney conditions.
• Imaging Tests:
  • Kidney Ultrasound: Helps assess kidney size and structure, and may detect urinary tract obstruction or other structural abnormalities.
  • Renal Doppler Ultrasound: May evaluate blood flow in the renal arteries when renal artery stenosis or another vascular abnormality is suspected.
  • CT or MR Angiography: May be considered when detailed evaluation of the renal blood vessels is required.
  • Echocardiography: May be used to evaluate cardiac effects of long-standing hypertension, such as left ventricular hypertrophy or heart dysfunction.
  • Kidney Imaging for Complications: CT or MRI may be used selectively when structural abnormalities, masses, stones or other complications require further assessment.

MediRehab (a chain of Rehab centres, part of MediGence) provides comprehensive tele-rehabilitation services to support patients with hypertensive kidney disease in the United Arab Emirates. These services include:

• Exercise and Physical Activity: Individually appropriate aerobic and strengthening activities can help improve cardiovascular fitness, mobility and blood pressure control.
• Weight Management: Structured nutrition and physical-activity programmes may support healthy weight management and improve cardiovascular and metabolic risk factors.
• Functional Rehabilitation: Patients with advanced CKD, fatigue, muscle weakness or other complications may benefit from physiotherapy and occupational therapy to maintain independence.

• Medicines for hypertensive kidney disease aim to lower blood pressure, reduce albuminuria, and slow the progression of kidney damage. ACE inhibitors or ARBs are commonly used in patients with CKD and albuminuria. Medication selection depends on kidney function, albuminuria, potassium levels, cardiovascular risk, and other health conditions, with treatment monitored for kidney function and electrolytes.