Papers

Peer-reviewed International journal
Dec, 2020

Effects of telmisartan on proteinuria and systolic blood pressure in dogs with chronic kidney disease

Research in Veterinary Science
  • Naoyuki Takemura

Volume
133
Number
First page
150
Last page
156
Language
English
Publishing type
Research paper (scientific journal)
DOI
10.1016/j.rvsc.2020.09.019

Renal proteinuria is associated with promoted renal dysfunction and a shorter survival period in dogs with chronic kidney disease (CKD). Renin angiotensin- aldosterone system inhibitors are primarily used to treat renal proteinuria. In this retrospective, open-label study, we aimed to evaluate the anti-proteinuric and anti-hypertensive effects of telmisartan (angiotensin II receptor blocker) in dogs with proteinuric CKD. A total of 28 dogs with proteinuric CKD were included in the study, all dogs received telmisartan 1 mg/kg q24h, PO. The urine protein-to-creatinine ratio (UPC), urine albumin-to-creatinine ratio (UAC) and systolic blood pressure (SBP) decreased significantly after telmisartan administration (P < 0.05). The median rate of change in UPC, UAC and SBP at Day 120 were - 65.1%, -75.9% and - 9.7%. Ten dogs (36.7%) achieved UPC < 1.0 at Day 120, of which six dogs had UPC < 0.5. A reduction of UPC to ≥50% was achieved in 10 dogs (36%) at Day 45 and 17 dogs (61%) at Day 120. Seventeen dogs (61%) had hypertension at baseline, of which 10 dogs (59%) had SBP < 160 mmHg at Day 120. Two-way repeated measures analysis of variance did not attribute the observed changes in SBP, UPC or UAC to feeding with a renal diet. In conclusion, telmisartan therapy provides anti-proteinuric and anti-hypertensive effects in dogs with proteinuric CKD.

Link information
DOI
https://doi.org/10.1016/j.rvsc.2020.09.019
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/32992126
ID information
  • DOI : 10.1016/j.rvsc.2020.09.019
  • ISSN : 0034-5288
  • ORCID - Put Code : 81433323
  • Pubmed ID : 32992126

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