Cai Wei, Lang MingJian, Jiang XiaoBo, Yu Qian, Zhou Congliang, Zou Wenshu, Zhang Xiaohua, Lei JianGuo
Department of Cardiology, The Affiliated Chengdu Fifth People's Hospital, North Sichuan Medical College.
Department of Cardiology, Chengdu Fifth People's Hospital, Chengdu, Sichuan Province, China.
Medicine (Baltimore). 2020 Apr;99(14):e19548. doi: 10.1097/MD.0000000000019548.
Essential hypertension is a multifactorial disease, which is affected by genetic and environmental factors, and can cause diseases such as cerebrovascular disease, heart failure, coronary heart disease, and chronic renal failure. High salt intake is a risk factor for hypertension, stroke, and cardiovascular disease. Blood pressure variability (BPV) is a reliable independent predictor of cardiovascular events and death. At present, there are few studies about the correlation among high salt intake, BPV, and target organ damage (TOD) in patients with hypertension.
The purpose of this study is to compare 24-hour urine sodium excretion, BPV, carotid intima-media thickness, left ventricular mass index, and serum creatinine or endogenous creatinine clearance rate. To clarify the relationship between high salt load and BPV and TOD in patients with hypertension.This study is a cross-sectional study. It will recruit 600 patients with essential hypertension in the outpatient and inpatient department of cardiovascular medicine of Chengdu Fifth People's Hospital. Researchers will obtain blood and urine samples with the patient's informed consent. In addition, we will measure patient's blood pressure and target organ-related information.
The study protocol was approved by the Chengdu Fifth People's Hospital. Written informed consent will be obtained from all the participants. The trial was registered in the Chinese Clinical trial registry, ChiCTR2000029243. This trial will provide for the correlation among high salt intake, BPV, and TOD in patients with essential hypertension.
原发性高血压是一种多因素疾病,受遗传和环境因素影响,可导致脑血管疾病、心力衰竭、冠心病和慢性肾衰竭等疾病。高盐摄入是高血压、中风和心血管疾病的危险因素。血压变异性(BPV)是心血管事件和死亡的可靠独立预测指标。目前,关于高血压患者高盐摄入、BPV与靶器官损害(TOD)之间相关性的研究较少。
本研究旨在比较24小时尿钠排泄、BPV、颈动脉内膜中层厚度、左心室质量指数以及血清肌酐或内生肌酐清除率。以阐明高血压患者高盐负荷与BPV及TOD之间的关系。本研究为横断面研究。将在成都市第五人民医院心血管内科门诊及住院部招募600例原发性高血压患者。研究人员将在患者知情同意的情况下获取血液和尿液样本。此外,我们将测量患者的血压及靶器官相关信息。
本研究方案已获成都市第五人民医院批准。将获得所有参与者的书面知情同意书。该试验已在中国临床试验注册中心注册,注册号为ChiCTR2000029243。本试验将提供原发性高血压患者高盐摄入、BPV与TOD之间的相关性。