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| Name | Class |
|---|---|
| Institut National de la Santé Et de la Recherche Médicale, France | OTHER_GOV |
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Investigators propose here to study the brain consequences of hypertension in patients without cognitive complaints and neurological signs. The evaluation of brain suffering requires considering various possible brain damage. The team developed a multimodal MRI approach capable of detecting and quantifying numerous indices (e.g. morphometric, microstructural) to evaluate possible brain suffering. This project aims to identify individually signs of cerebral suffering in hypertensive patients compared to a population of normotensive volunteers, using advanced multiparametric MRI methods.
Hypertension is a risk factor for many brain pathologies, such as ischemic and hemorrhagic neurodegenerative diseases or stroke. The literature seems to agree on the relationship between hypertension and brain damage, and on the benefit of the management of hypertension to prevent certain neurological pathologies. However, to our knowledge, no single study has shown signs of subclinical brain damage in patients with hypertension. At present, no brain MRI is recommended in these patients. In the present study, hypertensive and normotensive patients will undergo a neurological exam, a neuropsychological exam, a biological exam and a MRI exam to individually identify signs of cerebral suffering.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Hypertensive participants | Experimental | diagnosed HTA within 5 years, treated or confirmed by Ambulatory Blood Pressure Measure; |
|
| Normotensive participants | Experimental | absence of HTA confirmed by Ambulatory Blood Pressure Measure |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| multimodal magnetic resonance imaging | Diagnostic Test | Brain MRI exam (without contrast injection) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Presence of a cerebral zone with a z-score > 1.96 | the proportion of hypertensive patients who have at least one sign of cerebral suffering compared to the control group will be determined. For each MRI parameter, after coregistration, z score maps will be calculated for each hypertensive patient (individual vs normotensive group). The notion of cerebral suffering sign will be defined by the presence of a cerebral zone with a z-score greater than 1.96 (corresponding to a threshold of significance p <.05). | through study completion, an average of 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| White matter hypersignals | FAZEKAS score estimating T2 hypersignals of the white matter, | through study completion, an average of 1 year |
| Microbleeds | number and location of microbleeds, |
| Measure | Description | Time Frame |
|---|---|---|
| Correlation between MRI data and clinical scales | MRI parameters will be correlated with clinical and neuropsychological using Spearman 'rank correlation. | through study completion, an average of 1 year |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jean Darcourt, MD | Contact | +33561775620 | 33 | darcourt.j@chu-toulouse.fr |
| Patrice Péran, PHD | Contact | 05 62 74 61 96 | 33 | patrice.peran@inserm.fr |
| Name | Affiliation | Role |
|---|---|---|
| Jean Darcourt, MD | University Hospital, Toulouse | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU de Toulouse | Recruiting | Toulouse | 31000 | France |
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| ID | Term |
|---|---|
| D006973 | Hypertension |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D006403 | Hematologic Tests |
| ID | Term |
|---|---|
| D019411 | Clinical Laboratory Techniques |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D008919 | Investigative Techniques |
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|
| blood test | Diagnostic Test | Blood test to evaluate cardiovascular risk factors (cholesterol, triglycerides, LDL and HDL-CT, serum creatinine, fasting glucose, serum potassium), . |
|
| neuropsychological assessment | Diagnostic Test | neuropsychological assessment |
|
| through study completion, an average of 1 year |
| Gaps | number of gaps | through study completion, an average of 1 year |