Title
Use of Impedance Cardiography and Applanation Tonometry for Prediction of the Antihypertensive Effect of Two Drugs
Use of Impedance Cardiography and Applanation Tonometry for Prediction of the Antihypertensive Effect. Comparison Between an ATII Receptor Antagonist and a Diuretic.
Phase
N/ALead Sponsor
Aristotle University of ThessalonikiStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Arterial Stiffness Ambulatory Blood Pressure MonitoringIntervention/Treatment
Olmesartan ChlorthalidoneStudy Participants
60The principal aim of the study is to determine whether the hemodynamic parameters measured with the two methods -impedance cardiography and applanation tonometry- can be predictive of the antihypertensive effect of two different classes of drugs, ATII antagonists and diuretics.
The drugs that will be used in the study are olmesartan and chlorthalidone and the duration of the study is 12 months.
The other basic aim of the study is to determine whether there is a difference (>6mmHg) between the two drugs regarding the reduction of the mean 24hour blood pressure and the effect of them on the hemodynamic parameters.
The hemodynamic parameters that will be measured by applanation tonometry are augmentation index, central blood pressure and pulse wave velocity.
The hemodynamic parameters that will be measured by impedance cardiography are cardiac index, thoracic fluid content index, systemic vascular resistance index and others.
The principal aim of the study is to determine whether the hemodynamic parameters measured with the two methods -impedance cardiography and applanation tonometry- can be predictive of the antihypertensive effect of two different classes of drugs, ATII antagonists and diuretics.
The drugs that will be used in the study are olmesartan and chlorthalidone and the duration of the study is 12 months.
Administration of olmesartan at starting dose and titrating in order to reach the target blood pressure.
Administration of chlorthalidone at starting dose and titrating in order to reach the target blood pressure.
ARB administration (OLMESARTAN) at a starting dose and titrating at 15 weeks according to reach blood pressure target
Diuretic administration (chlorthalidone) at a starting dose and titrating at 15 weeks according to reach blood pressure target
Inclusion Criteria: Age > 18 years Drug naive patients with 1st or 2nd grade Arterial Hypertension according to the ESH/ESC guidelines 2013 The patient has signed the concent form Exclusion Criteria: Secondary Hypertension 3rd grade of Arterial Hypertension Chronic renal failure Diabetes Mellitus Sleep apnea syndrome Chronic or acute inflammatory diseases Stroke, myocardial infarction, angina pectoris in the past 6 months Heart failure Liver disease Neoplasms Pregnancy Valvular Heart disease Heigt < 120cm or > 230cm, Weight <30kg or >155kg Heart Arrhytmias Artificial cardiac pacemaker Hemodymanic unstable patients