MBRACE: The Effects of Blood Pressure Reduction on Cerebral Perfusion and Cognition in the Elderly Population
Study Details
Study Description
Brief Summary
The purpose of this study is to determine if a reduction in systolic blood pressure induced by anti-hypertensive medication results in changes in cerebral perfusion and cognition in hypertensive elderly. Hypertensive elderly will be treated using open-label anti-hypertensive medication for 8-12 weeks. Changes in cerebral perfusion and cognition will be assessed before and after treatment.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 4 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Hypertensive elderly community dwelling hypertensive elderly from general practices |
Drug: anti-hypertensive medication
8-12 weeks of anti-hypertensive treatment with 2 weekly titration using registered hypertensive medication
|
Outcome Measures
Primary Outcome Measures
- Cerebral blood flow [T1, 8-12 weeks of treatment, T2]
Secondary Outcome Measures
- Cognitive functioning assessed by neuropsychological testing [T1, 8-12 weeks of treatment, T2-3]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Age >= 70 years
-
Systolic office blood pressure >= 160 mmHg
-
Systolic home blood pressure >= 155 mmHg
Exclusion Criteria:
-
Diabetes Mellitus
-
Atrial fibrillation
-
Dementia
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Renal failure requiring dialysis
-
Life expectancy of less than 1 year
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Disabling stroke
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Contraindication for MRI or anti-hypertensive medication
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Systolic blood pressure > 220 mmHg
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Radboud University | Nijmegen | Gelderland | Netherlands | 6500HB |
Sponsors and Collaborators
- Radboud University Medical Center
- Dutch Heart Foundation
Investigators
- Principal Investigator: Jurgen A Claassen, MD, PhD, Radboud University Medical Center
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- MBRACE
- 2008B113