Low-renin hypertension Circulatory System Hypertension
Conditions
Interventions
Spironolactone (50 & 100 mg), amiloride (20 & 40 mg), bendrofluazide (2.5 & 5 mg), irbesartan (150 mg), placebo.
The lower dose of each will be re-encapsulated in identical capsules. Patients will ta
Sponsors
British Heart Foundation (UK)
Eligibility
Inclusion criteria
Inclusion criteria: 1. Hypertension (requiring treatment according to British Hypertension Society [BHS] criteria) 2. Aldosterone/renin ratio >400 3. Either Systolic Blood Pressure (SBP) on spironolactone more than or equal to 20 mmHg, during previous open-label treatment or Plasma renin activity less than 0.2 pmol/ml/h and response to spironolactone not previously tested
Exclusion criteria
Exclusion criteria: Contraindications to study drugs
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| sBP and plasma renin on spironolactone versus bendroflumethiazide. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. sBP on amiloride versus other diuretics. 2. Further measures of natriuresis. | — |
Countries
United Kingdom
Outcome results
None listed