Hypertensive heart disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: •Mild to moderate hypertension (systolic blood pressure with 140 mmHg or over and with 200 mmHg or less, diastolic blood pressure with 90 mmHg or over and with 110 mmHg or less, •Presence of LV hypertrophy (a ratio of LV mass to body surface area (LV mass index) with 120 g/m2 or over in men and with 105 g/m2 or over in women, or LV wall thickness > 11 mm. •LV diastolic dysfunction (a ratio of peak early to late diastolic filling velocities (E/A) 1.5, an E-wave deceleration time 280 msec, isovolumic relaxation time 105 msec) •LV ejection fraction with 50% or over
Exclusion criteria
Exclusion criteria: •History of a life-threatening adverse event induced by ARB or CCB •Pregnant woman •Serious liver dysfunction (aspartate aminotransferase or alanine aminotransferase more than 10 times of normal upper limit) •Serum creatinine > 1.8 mg/dl, known bilateral renal artery stenosis, single kidney, renal sclerosis •Secondary hypertension, malignant hypertension, hypertensive encephalopathy •Cardiovascular or cerebrovascular accidents within the last 6 months •Patients with angina pectoris who need CCB or beta-blocker •Significant aortic stenosis (peak transaortic valve pressure gradient > 20 mmHg) •Important aortic or mitral regurgitation in the investigators opinion •Patients with other diseases which affect the serum levels of carboxy-terminal telopeptide of collagen type I (CITP) and carboxy-terminal of procollagen type III (PIIIP) •Prescription of ACEI or ARB within 5 months •Prescription of beta-blocker or CCB within 4 weeks
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| LV diastolic function | — |
Secondary
| Measure | Time frame |
|---|---|
| carotid artery atherosclerosis BNP PIIIP CITP high sensitivity C-reactive protein | — |
Countries
Japan
Contacts
Osaka University Graduate School of Medicine Department of Cardiovascular Medicine