Skip to main content
. Author manuscript; available in PMC: 2019 Feb 1.
Published in final edited form as: Kidney Int. 2017 Dec 21;93(2):325–334. doi: 10.1016/j.kint.2017.08.038

Table 3.

Reported in observational or non-randomized interventional studies incidence of hyperkalemia in CKD patients under treatment with RAAS-blockers

Patient characteristics n Year Design Follow-up Definition of hyperkalemia Reported incidence rate Ref
CKD outpatients initiating an ACEI at a VA medical centre 1,818 1998 Observational cohort study 12 mo >5.1 mmol/l 11% 27
Patients with resistant hypertension and stage 2–3 CKD who received spironolactone added to pre-existing BP-lowering therapies 46 2009 Single-arm, interventional study 1.5 mo >5.5 mmol/L 17.3% 29
National US sample of veterans treated with ACEIs/ARBs during the fiscal year 2005 245,808 (70,873 with stage 3–4 CKD) 2009 Observational cohort study 12 mo ≥5.5 mEq/L 13.7% in CKD patients treated with ACEIs/ARBs 30
CKD outpatients initiating an ACEI-based antihypertensive regimen 5,171 2010 Observational cohort study 3 mo >5.5 mmol/L 2.8% 28
Outpatients enrolled in the Geisinger Health System 194,456 2016 Registry study 3 yrs >5.5 mmol/L 2.3% 31

Abbreviations: AASK= African American Study of Kidney Disease; ACEI= angiotensin-converting-enzyme-inhibitor; ARB= angiotensin-receptor-blocker; BP= blood pressure; CKD= chronic kidney disease;