Autonomic Imbalance and 24-h Blood Pressure Change in Patients With Chronic Renal Disease
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Purpose
Many patients with chronic renal disease show a loss of the nocturnal decline of blood pressure (non-dipper). However, the mechanism is not yet fully understood. We evaluate 24-hour blood pressure in patients with chronic renal disease using an ambulatory blood pressure monitoring device (A & D TM2425). We also analyze the power spectrum of heart rate variability as an index of autonomic cardiovascular modulation using the same device.
| Condition | Intervention |
|---|---|
|
Diabetes Mellitus Essential Hypertension Renal Failure Chronic Nephropathy |
Device: Ambulatory blood pressure monitoring |
| Study Type: | Observational |
| Study Design: | Additional Descriptors: Convenience Sample Observational Model: Natural History Time Perspective: Longitudinal Time Perspective: Prospective |
| Official Title: | Autonomic Imbalance and 24-h Blood Pressure Change in Patients With Chronic Renal Disease |
| Enrollment: | 278 |
| Study Start Date: | February 2004 |
| Study Completion Date: | December 2006 |
The ratio of lower frequency (LF) and higher frequency (HF) heart rate rhythmic oscillations is expressed as an index of sympathovagal balance. Patients with chronic renal disease participate in the study. Blood pressure and power spectrum of heart rate variability for 24 hours are measured when they receive no medication for at least 1 week. The mean waking and sleeping time systolic and diastolic blood pressure are calculated. LF/HF ratios in the chronic renal disease are evaluated to calculate the waking/sleeping ratio for LF/HF.
Eligibility| Ages Eligible for Study: | 20 Years to 85 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Hypertensive patients with diabetes mellitus
- Hypertensive patients
- Hypertensive patients with renal disease
- Patients with chronic renal disease
Exclusion Criteria:
- Cardiac, hematologic or hepatic disease
- Cerebral infarction or hemorrhage
- Other major diseases.
Contacts and Locations| Japan | |
| Yokohama City University Center Hospital | |
| Yokohama, Japan, 232-0024 | |
| Principal Investigator: | Gen Yasuda, MD | Yokohama City University Center Hospital |
More Information
Publications:
| ClinicalTrials.gov Identifier: | NCT00298129 History of Changes |
| Other Study ID Numbers: | 7332-3 |
| Study First Received: | February 28, 2006 |
| Last Updated: | May 8, 2007 |
| Health Authority: | Japan: Ministry of Health, Labor and Welfare |
Additional relevant MeSH terms:
|
Diabetes Mellitus Hypertension Kidney Diseases Kidney Failure, Chronic Renal Insufficiency, Chronic Renal Insufficiency |
Glucose Metabolism Disorders Metabolic Diseases Endocrine System Diseases Vascular Diseases Cardiovascular Diseases Urologic Diseases |
ClinicalTrials.gov processed this record on May 16, 2013