Hypertension and obstructive sleep apnea (OSA)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: -Men -Age 50-69 years -Body-Mass-Index =140 mmHg and/or Diastolic Blood Pressure >=95 mmHg -No known clinical disease except hypertension -No cardiovascular medication -Apnea-Hypopnea-Index (AHI) =15/h (obstructive sleep apnea) by sleep-recording -Written informed consent from the participant Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes 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: AHI 5-14.9/h by sleep-recording Manifest diabetes, liver- or kidney disease according to blood samples at screening Signs of atrial fibrillation or former myocardial infarction at electrocardiogram
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To address if blood pressure response to Losartan is less adequate in hypertensive men with obstructive sleep apnea (OSA) compared to those without this state. ;Secondary Objective: To address if these groups differ from eachother in response to Losartan regarding the neuroendocrine hormones and cardiovascular biomarkers. We will also address if treatment of obstructive sleep apnea with continuous positive airway pressure (CPAP) has an additive effect regarding blood pressure response to Losartan in this group. ;Primary end point(s): Blood-pressure response (ambulatory 24-h blood pressure) after 6 weeks of Losartan (50 mg) daily compared to baseline in patients with and without obstructive sleep apnea. Blood-pressure response (ambulatory 24-h blood pressure) after another 6 week-period in subgroup of hypertensive patients with obstructive sleep apnea with "Losartan only" compared to the treatment with "Losartan and CPAP" | — |
Countries
Sweden