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Stiffening of your blood vessels, particularly the large vessels from your heart (called the aorta and carotids) you age contributes to the development of cardiovascular disease (CVD) such as heart attack and stroke. Nerve activity from your brain to your body also increases with advancing age but it is unknown if this nerve activity contributes directly to the stiffening on your blood vessels in older adults in addition to high blood pressure. Therefore, successful completion of the proposed aims will have a significant clinical impact by identifying if nerve activity from your brain could be a novel target for therapies that would lower stiffness of the aorta and carotid arteries in older adults.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Clonidine | Experimental | 0.2 mg/day oral |
|
| Hydrochlorothiazide | Active Comparator | 37.5 mg/day oral |
|
| Placebo | Placebo Comparator | Placebo |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Clonidine | Drug | Clonidine 0.2 mg/day oral tablet |
| |
| Hydrochlorothiazide |
| Measure | Description | Time Frame |
|---|---|---|
| Change in carotid-femoral pulse wave velocity | Aortic stiffness | Baseline and after 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Change in carotid distensibility index | Change in carotid distensibility | Baseline and after 4 weeks |
| Change in carotid flow pulsatility index | Change in carotid flow pulsatility |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Gary Pierce, PhD | University of Iowa | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Amy Stroud | Iowa City | Iowa | 52240 | United States | ||
| University of Iowa |
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| ID | Term |
|---|---|
| D000092244 | Isolated Systolic Hypertension |
| ID | Term |
|---|---|
| D000075222 | Essential Hypertension |
| D006973 | Hypertension |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D003000 | Clonidine |
| D006852 | Hydrochlorothiazide |
| ID | Term |
|---|---|
| D048288 | Imidazolines |
| D007093 | Imidazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
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Randomized, placebo controlled, parallel design
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| Drug |
Hydrochlorothiazide 37.5 mg/day oral tablet |
|
| Placebo | Drug | Placebo |
|
| Baseline and after 4 weeks |
| Change in carotid intimal medial thickness (IMT) | Change in carotid wall thickness | Baseline and after 4 weeks |
| Iowa City |
| Iowa |
| 52242 |
| United States |
| D006571 |
| Heterocyclic Compounds |
| D002740 | Chlorothiazide |
| D001581 | Benzothiadiazines |
| D013449 | Sulfonamides |
| D013450 | Sulfones |
| D013457 | Sulfur Compounds |
| D009930 | Organic Chemicals |
| D049971 | Thiazides |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |