resistant hypertension
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1) Patients with essential hypertension, aged 18-75 years; (2) Patients with resistant hypertension, that is, after using sufficient amounts of ACE inhibitors/ARB + calcium channel blockers + diuretics, the blood pressure does not meet the target A or B: A. Clinic blood pressure: systolic blood pressure 140-179mmHg and/or diastolic blood pressure 90-109mmHg; B. 24-hour ambulatory blood pressure monitoring: = 130/80 mmHg throughout the day, and/or 135/85 mmHg = daytime, and/or 120/70 mmHg = night (3) The patient can understand the relevant requirements of the study and cooperate with the study intervention
Exclusion criteria
Exclusion criteria: (1) Women who plan to become pregnant, pregnant, or lactating; (2) secondary hypertension; (3) Patients with double renal artery stenosis, hyperkalemia (serum potassium > 5.5mmol/L), renal insufficiency (creatinine >265umol/L, effective glomerular filtration rate <30ml/(min·1.73m2)); (4) Malignant hypertension, hypertensive emergency, hypertensive crisis and hypertensive encephalopathy; (5) Those who have a history of allergy to the study drug or its components; (6) Have a history of alcohol intoxication or narcotic addiction; (7) Cardiovascular diseases and some related diseases, such as unstable angina, heart failure, life-threatening arrhythmia, atrial fibrillation, renal failure and grade III-IV retinopathy; (8) History of depression or other psychiatric illness; (9) Patients with active peptic ulcer and ulcerative colitis; (10) Long-term oral administration of glucocorticoids, non-steroidal anti-inflammatory drugs, immunosuppressants and other drugs that affect blood pressure (11) Inability to tolerate ambulatory blood pressure measurement and other circumstances that prevent them from participating in clinical studies
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 24-hour mean ambulatory systolic blood pressure; | — |
Secondary
| Measure | Time frame |
|---|---|
| asleep SBP/DBP;awake SBP/DBP ;lipids;blood glucose;blood electrolytes;anxiety/depression volume;Incidence rate of adverse events;office blood pressure; | — |
Countries
China
Contacts
West China Hospital, Sichuan University