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Insulin-induced microvascular activity in patients with essential hypertension: a possible role for angiotensin II AT1-receptor blockers-Amendement 26-03-2008.

Completed
Conditions
high blood pressure
hypertension
10018424
10057166
Registration Number
NL-OMON31747
Lead Sponsor
Academisch Ziekenhuis Maastricht
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
38
Inclusion Criteria

Main study:
Inclusion criteria hypertensive subjects: 18-60 years, Caucasian, untreated hypertension>140/90mmHg.
Inclusion criteria normotensive subjects : 18-60 years, Caucasian, blood pressure <140/90 mmHg.;Amendement:
18-60 years, Caucasian, blood pressure <140/90 mmHg.

Exclusion Criteria

Obesity (BMI>27kg/m2), cardiovascular disease (stroke, coronary artery disease, peripheral vascular disease, heart failure), impaired glucose tolerance or diabetes mellitus according to the criteria of the ADA, smoking, alcohol use >4U/day, use of medication (antihypertensive drugs, lipid lowering drugs, corticosteroids, NNSAIDs), and pregnancy.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<p>Main Study:<br /><br>- functional recruitment of capillaries in the skin.<br /><br><br /><br>Amendement:<br /><br>- the angiotensin II AT1-recptor blockade with a single oral dose of 600mg<br /><br>irbesartan. </p><br>
Secondary Outcome Measures
NameTimeMethod
<p>Main Study:<br /><br>- perfused capillary density in the nailfold.<br /><br>- Endothelium- (in)dependent vasodilatation of finger skin microcirculation<br /><br>- Density of arterioloes, capillaries and venules in the bulbar conjunctiva.<br /><br>- Diameter of arterioles and venules in the bulbar conjunctiva.<br /><br><br /><br>Amendement:<br /><br>- Time-course of angiotensin II AT1-recptor blockade after 600 mg irbesartan<br /><br>- plasma angiotensin II and active plasma renin concentrations (APRC)<br /><br>- Blood pressure drop after intake irbesartan (600mg) and felodipien ER (20mg)</p><br>
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