Hypertension
Conditions
Keywords
Hypertension, Empagliflozin, Left ventricular diastolic function, Blood pressure
Brief summary
The investigators assessed the 6-week effect of once daily 25mg SGLT2-i Empagliflozin on left ventricular diastolic function and blood pressure profile in non diabetic hypertensive patients
Detailed description
Background: The rapid beneficial effects of Empagliflozin on cardiovascular mortality and hospitalizations rates for heart failure according to the Cardiovascular Outcome Event Trial in Type 2 Diabetes Mellitus Patients (EMPA-REG OUTCOME) trial raise some question in the mechanism of myocardial action. The investigators conducted this study in a population of non-diabetic hypertensive patients in order to look for a short-term effect on left ventricular relaxation. Methods: The investigators carried out a single arm non- randomized clinical trial and assigned patients to receive 25mg of empagliflozin once daily in additional therapy for six weeks at the National Center for Obesity and in the cardiology department of Yaounde Central Hospital in hypertensive patients with cardiac relaxation disorder. The objectives were to evaluate the left ventricular diastolic function and nycthemeral blood pressure profile.
Interventions
Add-on 25mg once daily
Sponsors
Study design
Intervention model description
Open label trial with before and after design
Eligibility
Inclusion criteria
* Grade 1 hypertension * Grade 1 or 2 relaxation abnormalities (Doppler E/A ratio \<1) * Unchanged antihypertensive treatment for at least 12 weeks
Exclusion criteria
* Diabetes mellitus * eGFR \< 60 mL/min/1,73 m² * Mitral stenosis * Atrial fibrillation * Alanine transferase above 2N
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Left ventricular diastolic function | 6 weeks | Doppler ultrasound measured relaxation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Blood pressure | 6 weeks | 24-h ambulatory blood pressure |
| HbA1c | 6 weeks | Glycated haemoglobin |
Countries
Cameroon