Ascitic Cirrhosis, Hyperactivation of Sympathetic Nervous System
Conditions
Keywords
norepinephrine, renin, aldosterone, hemodynamics, spironolactone
Brief summary
To examine the effects of the addition of clonidine to diuretics on the mobilization of ascites at short-term (diuretic response and requirement of diuretics) and long-term (readmissions for tense ascites and requirement of diuretics) in cirrhotics with increased sympathetic nervous system. Secondary objectives were to study neuro-hormonal,hemodynamic effects and side effects of clonidine and diuretics.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Cirrhotic patients with ascites * Plasma norepinephrine level \> 300 pg/mL (normal value: 185 - 275 pg/mL)
Exclusion criteria
* Serum bilirubin concentration above 4.5 mg/dL * Prothrombin time below 40% * Platelet count below 40 X 10¨9/liter * Serum creatinine concentration above 2 mg/dL * Gastro-intestinal hemorrhage * Alcoholic hepatitis * Diabetes mellitus, * Hepatocellular carcinoma * Respiratory or cardiac failures * Hepatic encephalopathy * Bacterial infection
Countries
Belgium