Ischemic Stroke
Conditions
Brief summary
To compare the effect of losartan vs amlodipine-based antihypertensive therapy on atherosclerotic inflammatory markers and cerebrovascular regulation in Ischemic stroke patients.
Interventions
losartan 50mg qd for 30 weeks.
amlodipine 5 mg q.d for 30 weeks.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient With Tia Or Ischemic Stroke (Event Has Occurred More Thaan 4 Weeks But Less Than 24 Weeks, And Modified Rankin'S Scale, Mrs\<=3) With Mild To Moderate Hypertension * Patient Has No Other Active Medical Problem, Which Might Of Itself Or By This Treatment Significantly Affect The Patient's Blood Pressure * The Blood Level Of Hscrp\>0.2 Ng/Dl By Two Measurements Performed Respectively One-Week Apart
Exclusion criteria
* Patients With Cardiac Arrhythmia * Diabetes Mellitus * Patient With Other Active Inflammatory Diseases Such As Rheumatoid Disease, Fever And Systemic Infection Which Will Confound The Level Of Serum CRP * Patients With Known Intolerance, Contraindication Or Hypersensitivity To Losartan, Amlodipine and Hydrochlorothiazide * Patient With Myocardial Infarction Within The Recent Three Months * Anatomy Abnormality Which Results In Poor Bilateral Temporal Acoustic Windows Which Prevent TCD Procedure * Patient Who Requires Continuous Medication With Alpha Blocking Agents * Concurrent Usage Of Acei * Poor Mental Function Or Any Other Reason To Expect Difficulty In Meeting The Requirements Of The Study * Concurrent Treatment With Other Lipid-Lowering Drug * Childbearing Potential Women Not Undergoing Adequate Contraceptive Control
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| MCAFV and TCD for measuring cerebral autoregulatory indices at week 0, week 6, week 18 and week 30. | At week 0, week 6, week 18 and week 30. |