Vascular disease Circulatory System Vascular disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged 70 and over 2. At least one of the conditions: 2.1. Hypertension (based on recorded diagnosis from primary or secondary care) 2.2. Diabetes mellitus (based on recorded diagnosis from primary or secondary care) 3. Established vascular disease: myocardial infarction [based on symptoms of ischaemia or electrocardiogram (ECG) changes, plus rise in cardiac enzymes] 4. Percutaneous transluminal coronary angioplasty 5. Coronary artery bypass grafting 6. Stroke/transient ischaemic attack (TIA) (diagnosis established in secondary care) 7. Peripheral vascular disease (symptoms of peripheral ischaemia and either a previous ankle/brachial pressure index < 0.7 or previous evidence of arterial stenosis on angiography or ultrasound)
Exclusion criteria
Exclusion criteria: 1. Atrial fibrillation 2. Taking warfarin 3. Unable to give written informed consent 4. Unable to walk without human assistance (walking aids are permitted)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Flow-mediated dilatation of the brachial artery measured at baseline and 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Measured at baseline, 3 months and 6 months: 1. Markers of vascular function: 1.1. Arterial stiffness and reflectivity, measured using pulse wave velocity and augmentation index 1.2. Carotid intima-media thickness and compliance 2. Markers of vascular prognosis: brain natriuretic peptide (BNP), office blood pressure (BP) (lying and standing), total cholesterol, high density lipoprotein (HDL) cholesterol, low density lipoprotein (LDL) cholesterol 3. Markers of inflammation: high-sensitivity C-reactive protein 4. Serum MK7 levels, measured by high-performance liquid chromatography (HPLC) 5. Markers of physical function: 5.1. Short Physical Performance Battery; predicts disability, falls and death 5.2. Balance, measured using force plate analysis 5.3. Grip strength as a test of maximal muscle strength; predicts institutionalisation and death | — |
Countries
United Kingdom