MedPath

Investigating how high blood pressure develops differently in men and wome

Not Applicable
Conditions
Hypertension
Circulatory System
Hypertensive diseases
Registration Number
ISRCTN13479086
Lead Sponsor
niversity of Bristol
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Ongoing
Sex
All
Target Recruitment
148
Inclusion Criteria

1. Aged 18-75 years
2. Hypertensive patients: Office blood pressure = 140/90 mmHg and daytime ambulatory blood pressure =135/85 mmHg
3. Normotensive participants: Office blood pressure < 140/90 mmHg and daytime ambulatory blood pressure < 135/85 mmHg
4. Postmenopausal women: No period for at least 12 months and not using hormonal contraception (NICE, 2015)

Exclusion Criteria

1. Secondary causes of hypertension
2. Body mass index > = 30 kg/m2
3. Oophorectomy (removal of ovaries) prior to onset of natural menopause
4. Pregnancy/breastfeeding women
5. Taking hormone replacement therapy
6. Taking nitrate, steroid, anti-coagulant or immunosuppressant medication or medication as part of a clinical trial
7. Major illness e.g. cancer, inflammatory disease (including vasculitis) or receiving palliative care
8. Diagnosed cardiovascular (including arrhythmia), respiratory (including asthma), psychiatric, renal or ophthalmic disease
9. Congenital or acquired neurological conditions (including dementia), language disorders, repeated or chronic pain conditions (excluding menstrual pain and minor sporadic headaches)
10. Diabetes
11. Symptoms of febrile illness less than a week before experiment
12. Excessive alcohol consumption (> 28 units/week) or use of illicit drugs
13. Needle phobia
14. Inability to understand instructions given in English
15. Mild, moderate or severe persistent asthma (due to potential broncho effects of a systemic beta-blocker)

For premenopausal women and younger men only (relating to the propranolol infusion):
1. Individuals with any of the conditions listed in the instructions for use document of Dociton solution of injection (propranolol hydrochloride) in which Dociton must not be used:
1.1. Hypersensitivity to propranolol/beta-blockers or other ingredients in Dociton
1.2. Heart muscle weakness
1.3. Shock
1.4. Grade II or III AV block
1.5. Sick sinus syndrome
1.6. Sino-atrial block
1.7. Bradycardia (resting pulse < 50 beats/min)
1.8. Hypotension
1.9. Acidosis
1.10. Taking MAO inhibitors
1.11. Late stage peripheral blood flow disorders
1.12. tendency towards bronchial spasm e.g. bronchial asthma.
2. Individuals with any condition listed in the instructions for use document in which Dociton should be used with caution:
2.1. Grade I AV block
2.2. Diabetes mellitus
2.3. Lengthy strict fasting and severe physical stress
2.4. Phaeochomocytoma
2.5. Impaired liver or kidney function
2.6. Individual/family history of psoriasis
2.7. History of severe hypersensitivity reaction or receiving treatment to weaken allergic reactivity).
3. Individuals taking/recently taken any medication listed in the instructions for use document as being affected by Dociton or affecting Dociton:
3.1. Insulin/oral antidiabetics
3.2. Other blood pressure-lowering medications, nitroglycerin, diuretics, vasodilators, tricyclic antidepressants, phenothiazines, barbituates
3.3. Calcium antagonists of the nifedipine type
3.4. Calcium antagonists of the verapamil or diltiazem type
3.5. Antiarrhythmics, e.g. disopyramine or others
3.6. Cardiac glycosides
3.7. Reserpine
3.8. Alpha-methyldopa
3.9. G

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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