Full metadata record
DC Field | Value | Language |
---|---|---|
dc.creator | Marin, R. (Rafael) | - |
dc.creator | Ruilope, L.M. (Luis M.) | - |
dc.creator | Aljama, P. (P.) | - |
dc.creator | Aranda, P. (P.) | - |
dc.creator | Diez-Martinez, J. (Javier) | - |
dc.date.accessioned | 2012-05-08T07:11:25Z | - |
dc.date.available | 2012-05-08T07:11:25Z | - |
dc.date.issued | 1995 | - |
dc.identifier.citation | Marin R, Ruilope LM, Aljama P, Aranda P, Diez J. Effect of antihypertensive treatment on progression of renal insufficiency in non-diabetics patients. (Espiral trial). Nefrologia 1995;15(5):464-475. | es_ES |
dc.identifier.issn | 1989-2284 | - |
dc.identifier.uri | https://hdl.handle.net/10171/21957 | - |
dc.description.abstract | A three year randomized, multicenter, prospective, open trial, will be developed with the aim of studying the influence of antihypertensive therapy on chronic renal failure progression in non-diabetics patients. The study will compare the effects of an angiotensin converting enzyme inhibitor, fosinopril, with a slow release calcium antagonist, nifedipine slow release. Two hundred and fifty patients, with progressively fallug renal function, shom by an increase of serum creatinine (SCr) of at least 25 % in the 2 years preceding entry to the study, and SCr levels between 1.5 and 4.0 mg/dl, will be included. The primary end point of the trial will be the rate of change of SCr (mg/dl/month) and of the reciprocal of serum creatinine concentration (1/SCr) over time. The secondary end point will be the percentage of patients with a doubling of SCr, progreswith to dialytic therapy, or deah during the study. Patients with nephrotic syndrome (serum albumin concentration < 3 g %), systemic disease (including diabetes), severe cardiac or hepatic dysfunction, malignant or renovascular hypertension, obstructive nephropathy, initial serum potassium concentration > 5.8 mmol/l and initial serum total cholesterol level ³ 270 mg/dl, will be excluded. After a «wash out» period of four weeks, patients with arterial blood pressure ³ 140/90 will be assigned either to fosinopril (10-30 mg/day) or nifedipine slow release (30-60 mg/day). In case of insufficient blood pressure control, furosemide (20- 100 mg/d) will be added as a first step and then atenolol (25-100 mg/d) and/or doxazosine (1-12 mg/d) in order to maintain arterial blood pressure control under 140/90. All patients will receive a diet with 4-5 g/day salt content and a protein content of 0.8-1 g/kg body weight. At the begining of the study, at 2, 4 and 8 weeks, and every 4 months, the following parameters will be measured: supine blood pressure after 5 minutes rest, body weight, SCr, 1/SCr, serum albumin, electrolytes and lipid pattern; urinary protein and urea concentrations and creatinine clearange. The relation between the progression chronic renal failure and ambulatory blood presure during 24 hours will be studied in some patients. | es_ES |
dc.language.iso | spa | es_ES |
dc.publisher | Sociedad Española de Nefrología | es_ES |
dc.rights | info:eu-repo/semantics/closedAccess | - |
dc.subject | Progression of renal insufficiency | es_ES |
dc.subject | ACE inhibition | es_ES |
dc.subject | Calcium antagonist | es_ES |
dc.subject | Non-diabetic chronic renal failure | es_ES |
dc.subject | Arterial hypertension | es_ES |
dc.title | Effect of antihypertensive treatment on progression of renal insufficiency in non-diabetics patients. (Espiral trial) | es_ES |
dc.type | info:eu-repo/semantics/article | es_ES |
dc.relation.publisherversion | http://bit.ly/KhRLri | es_ES |
dc.type.driver | info:eu-repo/semantics/article | es_ES |
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