Hypertension
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. 30 years old or older 2. Patients newly diagnosed hypertension (SBP>=140mmHg or DBP>=90mmHg in a sitting position at clinic) or treated with hypertensive drugs
Exclusion criteria
Exclusion criteria: 1.Secondary hypertension 2.Severe valvular disease or congenital heart disease requiring operative treatment 3.Hypertrophic or dilated cardiomyopaty 4.PTCA or CABG performed within 6 months 5.Stroke occurred within 3 months 6.Renal dysfunction (serum creatinine >=3mg/dl) 7.Hepatic dysfunction (AST and/or ALT >=100IU/l) 8.Electrolyte abnormality resistant to treatment 9.Severe ventricular arrythmia 10.Severe cerebrovascular disease 11.Pregnancy, possible pregnancy 12.Active cancer 13.Contraindication for valsartan or amlodipine 14.Not suitable to the clinical trial as judged by a physician
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.All death2.Sudden death: death of endogenous origin within 24 h after acute onset3.Cerebrovascular events: new occurrence or recurrence of a stroke or transient ischemia attack4.Cardiac events: new occurrence or recurrence of acute myocardial infarction or pectoris, new occurrence of aggravation of heart failure5.Vascular events: new occurrence or recurrence of dissecting aneurysm of aorta. hospitalization due to arteriosclerotic occlusion of peripheral artery6.Renal dysfunction: doubling of serum creatinine, end stage renal disease | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Effect on left ventricular hypertrophy (assessment by echocardiography or electrocadiogram) and left systoloic and diastolic function by echocardiography2.Effect on renal function (assessment by albuminuria or urinary albumin/creatinine ratio, serum creatinine)3.Effect on cardiac sympathetic activity (assessment by MIBG cardiac imaging)4.Effect on blood neurohormonal level5.Effect on blood pressure at home | — |
Countries
Japan
Contacts
Chiba University Dept. Cardiovascular Science and Medicine