Hypertensive patients.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.The Age>=25 years 2.Hypertensive patients 3.Patients who are not taking beta blockers 4. Secondary hypertension will be included
Exclusion criteria
Exclusion criteria: 1.Patients with malignant hypertension 2.Decompensated heart failure (NYHA III or IV) 3. Malignancy needing treatment 4.Hepatic or renal disease (serum creatinine >3.0mg/dl or under hemodialysis) 5.Those who had had severe side effects with beta blockers 6.Those with contraindication for beta blockers (bronchial asthma, bradycardia, vasospastic angina, pregnant women etc.) 7.Those with hyper- or hypoglycemic attack 8. Those with dementia from whom we cannot obtain informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.Effects on casual blood pressure Extent of BP reduction (SBP, DBP, and mean BP) 2.Ambulatory BP Extent of BP reduction (SBP, DBP, and mean BP) 3.Pulse wave velocity (PWV), pulse wave analysis (PWA), augmentation index (AI) , central BP 4.The effects on the measures of cardiac and renal target organ damage (urinary microalbumin, hsCRP, hsTroponin T, BNP, NT-proBNP) 5.Effects on glucose and lipid 6.Effects on the measures of insulin resistance (HOMA-R) 7.Effects on autonomic nervous functions (CVRR, BRS etc) | — |
Secondary
| Measure | Time frame |
|---|---|
| Adverse effects, and safety measures. | — |
Countries
Japan
Contacts
Jichi Medical University School of Medicine Division of Cardiovascular Medicine,Department of Medicine