Status:

UNKNOWN

Hyperintense: Midlife Hypertension and the Brain

Lead Sponsor:

Radboud University Medical Center

Conditions:

Hypertension

Small Vessel Cerebrovascular Disease

Eligibility:

All Genders

18-55 years

Brief Summary

Cerebral small vessel disease (SVD) describes a set of pathologies affecting the smallest blood vessels in the brain. SVD contributes to up to a fifth of ischemic and hemorrhagic strokes en is the mai...

Eligibility Criteria

Inclusion

  • Study 1: cross-sectional study
  • Age 18-40 years
  • Blood pressure above 140/90 mmHg, measured within three months prior to study participation

Exclusion

  • Pre-existing cerebrovascular disease
  • Pregnancy
  • Contraindications for 3 T MRI
  • Renal function eGFR below 30 ml/min (for Dynamic Contrast Enhanced \[DCE\]-MRI
  • Major risk factors for acute ischemic stroke other than SVD according to the TOAST criteria, including, but not limited to, large-artery atherosclerosis, cardioembolism and vasculitis based on medical history and ultrasound of the carotids collected at baseline or any chronic disease that could lead to brain lesions mimicking SVD
  • Major (neurological/psychiatric) disease (e.g. multiple sclerosis)
  • Not able to give informed consent
  • Study 2: longitudinal study
  • Inclusion criteria:
  • Age 18-55 years
  • Undergoing diagnostic routine of temporary antihypertensive withdrawal for biochemical analysis as part of clinical work-up
  • Exclusion criteria:
  • Pre-existing cerebrovascular disease
  • Pregnancy
  • Contraindications for 3 T MRI
  • Renal function eGFR below 30 ml/min (for Dynamic Contrast Enhanced \[DCE\]-MRI
  • Major risk factors for acute ischemic stroke other than SVD according to the TOAST criteria,22 including, but not limited to, large-artery atherosclerosis, cardioembolism and vasculitis based on medical history and ultrasound of the carotids collected at baseline or any chronic disease that could lead to brain lesions mimicking SVD
  • Major (neurological/psychiatric) disease (e.g. multiple sclerosis)
  • Not able to give informed consent

Key Trial Info

Start Date :

July 6 2021

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

December 31 2023

Estimated Enrollment :

130 Patients enrolled

Trial Details

Trial ID

NCT06175663

Start Date

July 6 2021

End Date

December 31 2023

Last Update

December 19 2023

Active Locations (1)

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1

RadboudUMC

Nijmegen, Netherlands, 6525GA Nijmegen