Hypertension
Conditions
Brief summary
Assessment of the influence of different antihypertensive drugs on serum uric acid in newly diagnosed hypertension patients.
Detailed description
Hypertension is the most common condition seen in primary care and leads to myocardial infarction, stroke, renal failure, and death if not detected early and treated appropriately. Thiazide-type diuretics, angiotensin-converting enzyme (ACE) inhibitors and some of angiotensin-II receptor blockers (ARB) were reported to reduce renal excretion of urate and increased serum uric acid levels, Beta-blockers also elevate serum uric acid levels. Hyperuricemia is a risk factor for cardiovascular diseases. Hyperuricemia was found to correlate with hypertension excluding the influence of other factors such as age and renal function. Furthermore, many studies found that hyperuricemia was independently associated with cardiovascular events in patients treated with antihypertensive drugs. It is important to control serum uric acid levels in hypertensive patients treated with antihypertensive drugs in order to reduce the risk of gout and cardiovascular events. There is a gap in knowledge in studies showing the effect of antihypertensive drugs on serum uric acid in newly diagnosed hypertensive patients.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* All newly diagnosed hypertensive patients aged 30 years old and above will be invited to participate in this study
Exclusion criteria
1. Patients below 30 years old. 2. Patients with kidney disease. 3. Patients who are taking medications known to increase SUA as (Thiazide and Loop diuretics, Salicylates, Cyclosporin use) or decrease the level of uric acid in the urine as (Allopurinol, Febuoxstate).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The effect of different antihypertensive drugs on serum uric acid in newly diagnosed hypertension. | 6 months from baseline | we will measure the change of the level of serum uric acid after 6 months from the treatment of antihypertensive durgs |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| obesity | 6 months from baseline | it will be measured by BMI (kg/m2) |