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How High Blood Pressure Can Lead to Kidney Damage or Failure? Our kidneys and our circulatory system are dependent on each other. The kidneys filter wastes and extra fluids from blood, using many blood vessels. Sometimes the blood vessels are damaged which results in non functioning of the nephrons which filter the blood as the blood don’t recieve oxygen and nutrients which the kidneys need for proper functioning. Over a period of time High blood pressure harms the renal blood vessels. The nephrons in our kidneys which are supplied with a vast network of blood vessels, and high volume of blood flows through them. Over a course of time High blood pressure can cause the arteries around the kidneys to narrow, weaken and harden. The damage to the arteries mean not enough blood is being supplied to the kidney tissue. Damaged kidney arteries dont filter blood and fail to regulate the blood pressure. Kidney failure due to high blood pressure is a cumulative process that can take years to develop. But you can limit your risk by managing your blood pressure.