drug-resistant morning hypertension
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1)Patients with drug-resistant hypertension who were treated by at least 3 antihypertensive drugs (CCB, RAS inhibitors, and diuretics) more than 3 months. (2)Despite above treatment plus non-pharmacological treatments (Diet and exercise), home morning was > or = 135/85mmHg (either).
Exclusion criteria
Exclusion criteria: 1.Diabetes with albuminuria or proteinuria 2.Allergy, or allergic reaction to study drugs 3. Patients with Hyperkalemia or serum potassium level>5.0mEq/ 4.Renal dysfunction (Ccr<50ml/min) 5.Sevre Hepatic damage 6.Taking potassium, or spironolactone 7.Taking Itraconazole, Ritonavir, and Nelfinavir 8. age<20yrs, or dementia 9. Not appropriate for the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Antihypertensive effects of home blood pressure between group I and II in the interventional period 1, and group III and IV in the interventional period 2 will be compared. | — |
Countries
Japan
Contacts
Jichi Medical University School of Medicine Division of Cardiovascular Medicine, Department of Medicine