Peripheral Artery Disease With Intermittent Claudication
Conditions
Brief summary
To study the effect of olmesartan on walking distance and quality of life in peripheral artery disease patients with hypertension treated For intermittent claudication.
Interventions
CCB, diuretics, alpha blocker, direct vasodilator, beta blocker
Sponsors
Study design
Eligibility
Inclusion criteria
* Aged between 20 and 85 years at visit 1 * Patients with ankle-brachial index (ABI) of less than 0.9 in one or both legs with history of intermittent claudication stable for the previous 6 months * Patients whose statins, anti hypertensive medications and antiplatelet medications are stable for the past 6 months. Statins and cilostazol are allowed but needs to be stable for the past 6 months (diabetic medications may be changed) * Patients whose blood pressure is more than 140/90 mmHg with/without anti-hypertension treatment
Exclusion criteria
* Blood pressure of more than 180/110 mmHg * Patients taking ARBs or ACE inhibitors treatment for at least 6 months before * Patients taking aldosterone receptor antagonists at least 6 months before * Patients with serum creatinine of more than 3 mg/dL * serum potassium (K+) \> 5.5mg/dl * History of bilateral renal artery stenosis * History of acute coronary syndrome or heart failure hospitalization within 6 months * Peripheral arterial revascularization planned within 1 month * Critical limb ischemia * Patients with impaired cognition (e.g. dementia) * pregnancy or women at age of childbearing potential
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain free maximum walking distance and time | 12th week | Effect of olmesartan in maximum, pain free walking distance & time |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of life as measured by questionnaires | 24th week | Effect of olmesartan in quality of life (WIQ, SF-36) |
Other
| Measure | Time frame | Description |
|---|---|---|
| Pulse wave analysis as measured by PWV | 24th week | pulse wave velocity |
| Blood pressure by measured by 24hr ABPM | 24th week | 24hr ambulatory blood pressure monitoring |
Countries
South Korea