Resistant Hypertension, Obstructive Sleep Apnea Syndrome
Conditions
Interventions
Use of continuous positive airway pressure (CPAP) device during sleep for 6 months in 100 patients (intervention group). Other 100 patients (control group) will keep their usual anti-hypertensive trea
procedure/surgery
SP1.011.122
Sponsors
Faculdade de Medicina - Universidade Federal do Rio de Janeiro
Hospital Universitário Clementino Fraga Filho
Eligibility
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: Patients with resistant hypertension and moderate-severe obstructive sleep apnea syndrome
Exclusion criteria
Exclusion criteria: Marked cognitive deficit, non-adherence to anti-hypertensive treatment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Clinic and ambulatory blood pressures. Measure: clinic and ambulatory blood pressure monitoring Expected outcome: reduction of blood pressures in treatment group (at least 5 mmHg). | — |
Secondary
| Measure | Time frame |
|---|---|
| Microalbuminuria. Measure: 24-hour urinary albumin excretion. Expected outcome: reduction of microalbuminuria in the intervention group.;Hyperaldosteronism measurements: serum aldosterone concentration, plasma renin activity and 24-hour urinary aldosterone excretion. Expected outcome: reduction of hyperaldosteronism in the intervention group. ;Aortic arterial stiffness. Measure: carotid-femoral pulse wave velocity. Expected outcome: reduction of arterial stiffness in the intervention group.;Cardiorespiratory fitness. Measure: maximun oxigen consumption in ergospirometry. Expected outcome: improvement in cardiorespiratory fitness in the intervention group.;Autonomic System Balance Measurements: heart rate variability during 24-hour Holter monitoring. Expected outcome: improvement in heart rate variability in the intervention group. | — |
Countries
Brazil
Contacts
Public ContactGil Salles
Faculdade de Medicina - Universidade Federal do Rio de Janeiro
Outcome results
None listed