Arterial hypertension associated with elevated ARR
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: The subjects, male and female over 18 years, will be recruit among hypertensive patients evaluated at the Medicina Interna B Hypertensive Centre, with a negative response to saline inhibitory test 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: 1)Renal failure (creatinine >2 mg/dl) and/or high serum potassium level (> 5.1 mmol/L) 2)Basal pressure >180/110 mmHg 3)Treatment with anti-hypertensive drugs different from drugs allowed before inhibition test 4)Prenancy or feed 5)Age <18 age 6)Pevious intolerance cases to hydrochlorothiazide or canrenoate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Evaluate the possible different efficacy of two diuretic treatments ?either hydrochloroyhiazide (HCT) or canrenoate (KA)- in patients with high ARR but negative confirmatory test for Primary Aldosteronism;Secondary Objective: Evaluate: - possible further determinants (apart from ARR) of diuretic efficacy - tollerability of two different treatments, in particular in ione disorder induction and in adverse effects incidence;Primary end point(s): With Altman method, achieve 5 mmHg difference at least in decrease of middle systolic values in 24 hours between two groups | — |
Countries
Italy