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Effects of temporary discontinuation of antihypertensive treatment in older patients with cognitive impairment: a randomised controlled trial. The DANTE Study Leiden, Discontinuation of ANtihypertensive Treatment in the Elderly

Completed
Conditions
depressie, apathie, dagelijks functioneren en kwaliteit van leven
Blood pressure and cognition
10007963
10012272
Registration Number
NL-OMON37958
Lead Sponsor
eids Universitair Medisch Centrum
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
400
Inclusion Criteria

(1) age >= 75 years,
(2) current antihypertensive treatment with a calcium antagonist, beta-blocker, diuretic, ACE-inhibitor, or angiotensin-II-receptor blocker prescribed by their general practitioner for hypertension,
(3) a last systolic blood pressure as reported in the chart of the general practitioner <= 160 mmHg(4) Mini-Mental State Examination (MMSE) score 21t/m 27.

Exclusion Criteria

A history of myocardial infarction and/or coronary reperfusion procedures (CABG/PCI) < 3 years, stroke, or heart failure requiring antihypertensive medication and/or a clinical diagnosis of dementia.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<p>Primary outcome is the change in the compound cognitive score between baseline<br /><br>and follow-up at 4 months after randomisation.</p><br>
Secondary Outcome Measures
NameTimeMethod
<p>Secondary outcomes are the changes in the four separate cognitive domains<br /><br>(executive functioning, cognitive speed, immediate memory, and delayed memory);<br /><br>depressive symptoms, apathy, daily functioning, and quality of life between<br /><br>baseline and follow-up, 4 months after randomisation; and change in cerebral<br /><br>perfusion at MRI scan.</p><br>
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