Elevated creatinine caused by hypertension requires strict control of blood pressure, treatment of various complications, and renal replacement therapy if necessary.
Longer duration of hypertension may lead to hypertensive nephropathy, which may cause elevated creatinine. At this time, the first need to strictly control blood pressure, can apply ACEI or ARB drugs such as captopril, irbesartan and so on to reduce blood pressure, reduce urinary protein and so on. Renal function and potassium ion level should be monitored during the medication.
In addition, blood routine, electrolytes, renal function, parathyroid hormone and other related examinations should be improved, according to the results of the examination to treat renal anemia, electrolyte disorders and other complications.
If the glomerular filtration rate decreases more and develops into uremia, or if there are cases of hypertension and edema that are difficult to be controlled by drugs, renal replacement therapy such as hemodialysis, peritoneal dialysis or kidney transplantation is needed if necessary.
If patients with hypertension have elevated creatinine, it is recommended to go to regular hospitals in time and standardize the treatment under the guidance of doctors.