Kidney Failure, Chronic
Conditions
Keywords
Kidney Failure, Chronic, Hemodialysis, Spironolactone
Brief summary
The hypothesis of this trial is to assess the effect of spironolactone on heart size and mass
Detailed description
Dialysis patients have significant morbidity and mortality associated with left ventricular hypertrophy and cardiac failure. Aldosterone may have an important role in the development of myocardial hypertrophy and remodeling. Animal studies have demonstrated beneficial effects of aldosterone antagonists on myocardial hypertrophy, and human studies have shown significant survival benefit in a non-dialysis population with congestive heart failure. This study evaluates the effect of spironolactone (an aldosterone receptor antagonist) on cardiac hypertrophy in the end-stage renal disease population.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* hemodialysis patients
Exclusion criteria
* non compliance * hyperkalemia * pregnancy * expected survival less than 9 months
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Left ventricular mass | 9 months |
Countries
United States