Renal vascular damage caused by arterial hypertension participates in
alterations of the systemic vascular function and structure. Nephroscl
erosis seems to run in parallel with the systemic atherosclerosis that
accounts for the increased cardiovascular morbidity and mortality see
n in hypertensive patients. Parameters indicating the existence of an
alteration in renal function (increased serum creatinine, proteinuria
and microalbuminuria) are independent predictors for an increased card
iovascular morbidity and mortality. Hence, parameters of renal functio
n must be considered in any stratification of cardiovascular risk in h
ypertensive patients.