Cardiovascular Mortality Clinical Trial
Official title:
Factors Influencing Cardiovascular Prognosis in Hypertensive Patients (Pythia Study)
The purpose of this study is to identify risks for cardiovascular events in a follow up period of 10 years.
Inclusion criteria
- Age > 50 years volunteers (2 towns of 15000 residents one in the north and one in the
south of Greece)
- End points
- 5-10 years cardiovascular morbidity and mortality
Measurements at baseline
- Anthropometrics
- Age (M>55 years; W>65 years)
- Weight-height- BMI
- Abdominal obesity (Waist circumference>102 cm(M), >88cm (W) Family history
- Family history of premature CV disease (M at age<55 years; W at age<65 years)
History
- Smoking
- Diabetes Mellitus,
- Established Heart disease: myocardial infarction; angina; coronary revascularization;
heart failure
- Established renal disease [diabetic nephropathy; renal impairment (serum creatinine
M>133, W>124 mmol/l); proteinuria (> 300 mg/24 h)]
- Cerebrovascular disease: ischaemic stroke; cerebral haemorrhage; transient ischaemic
attack
- Peripheral artery disease
- Advanced retinopathy: haemorrhages or exudates, papilloedema
- Treatment
Measurements
- Measurements Blood pressure
- Clinic BP
- 24h ABPM
- Home BP
Heart
- Electrocardiographic LVH
- Echocardiographic LVH
Vessels
- Carotid wall thickening or plaque
- Carotid-femoral pulse wave velocity
- Ankle/brachial BP index
Lipids or other risk factors
- Total cholesterol, Tg, HDL, LDL
- Plasma creatinine, estimated glomerular filtration rate
- Fasting plasma glucose or postload plasma glucose
- Microalbuminuria and albumin-creatinine ratio
- Glucose tolerance test
- Follow up each 3 year with all the above measurements
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Observational Model: Cohort, Time Perspective: Prospective
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