Hypertension Clinical Trial
Official title:
Sleep Apnea in Patients With Refractory Hypertension: Study of the Prevalence and the Effect of CPAP Treatment on Blood Pressure Control, Endothelial Dysfunction and Angiogenesis.
A small number of uncontrolled studies have shown a high prevalence of sleep apnea in
patients with refractory hypertension and that CPAP treatment achieves a significant
reduction of blood pressure in the short term.
The purpose of this study is to assess the prevalence of sleep apnea in patients with
refractory hypertension, and the effects of continuous positive pressure treatment on
systemic blood pressure and on serum markers of endothelial dysfunction and angiogenesis.
We assess the prevalence of an apnea hypopnea index (AHI) > 5 in patients with refractory
hypertension referred from a hypertension clinic. Patients with an AHI >15 are randomized to
either continuing their usual pharmacological treatment alone or adding CPAP to their usual
treatment, during a 3 month period.
The main endpoint is the comparison of the mean 24h systolic and diastolic blood pressure,
as assessed by ambulatory blood pressure monitoring, between both treatment arms. The
secondary endpoint is to assess changes in serum markers of endothelial dysfunction and
angiogenesis
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Supportive Care
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