Health Condition 1: I10- Essential (primary) hypertension
Conditions
Interventions
Sponsors
None listed
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients diagnosed with resistant hypertension as per the diagnostic criteria devised by American Heart Association (AHA) [i.e. patients who fail to achieve target blood pressure of =3 antihypertensive medications] 2. Willingness to participate in the study by signing written informed consent
Exclusion criteria
Exclusion criteria: 1. Patient with the history of Pseudo-Resistant Hypertension (non-adherence to medication, high salt intake, white coat hypertension, improper BP measurement), and Resistant Hypertension due to secondary causes like common substance (antidepressants such as venlafaxine, phenylephrine, glucocorticoids, erythropoietin, calcineurin inhibitors, hormonal contraceptives, cocaine, amphetamine, ecstasy) Obstructive Sleep Apnoea, Obesity, Hyperaldosteronism, Pheochromocytoma 2. Patients who are currently enrolled in any other research study 3. Patients with other cardiovascular conditions like untreated coronary artery disease, heart failure, rheumatic heart disease and congenital heart disease 4. Patients with Chronic Kidney Disease (GFR >/ =3 with presence of markers of kidney damage) 5. Patients with hepatic, pulmonary, endocrinal, neurological, psychiatric disorders and/or complications
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Assessment of systolic blood pressure level using 24-hours Ambulatory Blood Pressure Monitoring (ABPM)Timepoint: Baseline and at 6 month | — |
Secondary
| Measure | Time frame |
|---|---|
| Assessment of autonomic changes by measuring Heart Rate Variability (HRV) using Holter monitorTimepoint: Baseline and at 6 month;Assessment of Depression, Anxiety and Stress level using DASS-21 QuestionnaireTimepoint: Baseline and at 6 month;Assessment of Quality of Life using SF-36 QuestionnaireTimepoint: Baseline and at 6 month | — |
Countries
India
Contacts
All India Institute of Medical Sciences, New Delhi