Status:

WITHDRAWN

Treatment Targets for Chronic Hypertension in Pregnancy

Lead Sponsor:

Weill Medical College of Cornell University

Conditions:

Pregnancy Toxemia

Hypertension

Eligibility:

FEMALE

18-50 years

Phase:

PHASE1

PHASE2

Brief Summary

This project is a clinical study of women with high blood pressure who become pregnant. Preeclampsia is a syndrome developing at the end of a pregnancy characterized by an abrupt rise in blood pressur...

Detailed Description

Methods: This is a pilot study to examine the feasibility of conducting a larger, multi center randomized control trial. Fifty women with chronic hypertension who are pregnant and are seen in the fir...

Eligibility Criteria

Inclusion

  • Pregnant patients will be evaluated for recruitment to 13 6/7 weeks gestation.
  • Age 18-50
  • Patients will be included for consideration to enter this trial if office blood pressure is \>140/90 mm Hg: systolic \>140 mm Hg, diastolic \>90 mm Hg or both. The average of 3 readings taken a minimum of 5 minutes apart will be recorded as the baseline blood pressure.
  • Patients will also be included for consideration to enter this trial if they have known longstanding hypertension DBP \>90 within 2 years of index pregnancy and/or are on antihypertensive medication, regardless of in-office blood pressure if seen in their first trimester.

Exclusion

  • Significant target organ damage; at the patient's initial antepartum visit, routine serum creatinine and urine dipstick for protein are performed by the attending obstetrician. If the patient has been hypertensive by history for over 5 years, a screening electrocardiogram will be performed. These will be reviewed for results precluding participation in the trial.
  • Known renal disease creatinine \> 1.2 mg/dl
  • Proteinuria \>500 mg/day at baseline
  • Left ventricular hypertrophy by ECG criteria.
  • History of the following: chronic illness requiring immunosuppression, as well as secondary causes of hypertension: pheochromocytoma, hyperaldosteronism, coarctation of aorta, renal artery stenosis not revascularized.

Key Trial Info

Start Date :

July 1 2004

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

March 1 2005

Estimated Enrollment :

Patients enrolled

Trial Details

Trial ID

NCT00194974

Start Date

July 1 2004

End Date

March 1 2005

Last Update

January 30 2017

Active Locations (1)

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1

The New York PresbyterianHospital-Weill Medical College of Cornell University

New York, New York, United States, 10021