Chronic Kidney Disease Hypertension Falls
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Age > 70 Chronic kidney disease 3, 4 or hypertensive (> 130/80) Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) no F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Likely to develop chronic kidney disease within one year Poor mobility precluding completion of assessment BP prior to antihypertensive withdrawl > 160/90 diabetes Severe peripheral vascular disease Heart failure (BYHA III/IV) or other cause to prevent diuretic withdrawl Atrial fibrillation (precludes PWV measurement) AMT <8 Recent acute illness (within the last 3 months) IHD requiring beta-bloackade (nitrates/nicorandil are permitted) Obstructive uropathy Malignant hypertension Involvement in another clinical trial with in 3 months Attending day hospital or attanding Falls Reduction Services Residents in nursing or residential homes Renovascular disease precluding ACEi/ARB usage Currently taking antihypertensive medication for which CTA has not been granted
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The main objective is to try to answer the question "How does the change in baroreflex sensitivity alter in older people with chronic kidney disease with an optimal antihypertensitive strategy and over time?";Secondary Objective: To ascertain if the change in baroreflex sensitivity exhibited in older people with chronic kidney disease is different to that exhibited by older people who o not have chronic kidney disease. To identify abnormalities of cardiovascular function or functional ability that predict falls;Primary end point(s): change in baroreflex sensitivity with optimal hypertensive treatment and over time | — |
Countries
United Kingdom