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In this study we hypothesize that blocking the angiotensin II AT1-receptor improves the insulin-induced microvascular dilatation. Objectives: 1. Does blockade of the angiotensin II AT1-receptor improve the insulin-induced microvascular effects in hypertensive patients. 2. Does blockade of the angiotensin II AT1-receptor impair the insulin-induced microvascular effects in normotensive control subjects?
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| I | Experimental | Irbesartan |
|
| II | Active Comparator | Felodipine |
|
| III | Placebo Comparator | Placebo |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Irbesartan | Drug | Single dose 600mg orally |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| functional recruitment of capillaries in the skin | July 2009 |
| Measure | Description | Time Frame |
|---|---|---|
| perfused capillary density in the nailfold | July 2009 | |
| Endothelium- (in)dependent vasodilatation of finger skin microcirculation | July 2009 | |
| Density of arterioles, capillaries and venules in the bulbar conjunctiva. |
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Inclusion Criteria:
hypertensive subjects:
normotensive subjects:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| CDA Stehouwer, Prof. | Univeristy Hospital Maastricht | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Maastricht | Maastricht | P.O. Box 5800 | 6202 AZ | Netherlands |
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| ID | Term |
|---|---|
| D006973 | Hypertension |
| D007333 | Insulin Resistance |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D006946 | Hyperinsulinism |
| D044882 | Glucose Metabolism Disorders |
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| ID | Term |
|---|---|
| D000077405 | Irbesartan |
| D015736 | Felodipine |
| ID | Term |
|---|---|
| D001713 | Biphenyl Compounds |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
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| Felodipine | Drug | single dose 10mg Felodipine ER |
|
|
| Placebo | Drug | Single dose tablet orally |
|
| July 2009 |
| Diameter of arterioles and venules in the bulbar conjunctiva | July 2009 |
| D008659 |
| Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D006838 |
| Hydrocarbons |
| D009930 | Organic Chemicals |
| D013141 | Spiro Compounds |
| D013777 | Tetrazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D011083 | Polycyclic Compounds |
| D004095 | Dihydropyridines |
| D011725 | Pyridines |