Evidence map›Paper›PMID 20848256›Full record

Trial reportJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology2011

Safety of regadenoson in patients with end-stage liver disease.

Wael Aljaroudi, Fahad Iqbal, Jayanth Koneru, Pradeep Bhambhvani, Jaekyeong Heo, Ami E Iskandrian

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Incidence of atrioventricular block with vasodilator stress SPECT: A meta-analysis.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2019
    Pooled it
  2. Safety and tolerability of intravenous regadenoson in healthy subjects: A randomized, repeat-dose, placebo-controlled study.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2017
    Trial
  3. Cardiac imaging for the assessment of patients being evaluated for liver transplantation.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2022
    Review
  4. Regadenoson use in chronic kidney disease and end-stage renal disease: A focused review.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2018
    Review
  5. ASNC imaging guidelines for SPECT nuclear cardiology procedures: Stress, protocols, and tracers.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2016
    Article
  6. Serious and potentially life threatening complications of cardiac stress testing: Physiological mechanisms and management strategies.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2015
    Review
  7. Cardiac imaging for the assessment of patients being evaluated for kidney or liver transplantation.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2015
    Review
  8. Editorial: Regadenoson: An adenosine AJournal of cardiology cases · 2014
    Article
  9. Safety and tolerability of regadenoson CMR.European heart journal. Cardiovascular Imaging · 2014
    Article
  10. Regadenoson: a focused update.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2013
    Review
  11. Article
  12. Article
  13. Patient-centered imaging.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2012
    Article
  14. Selective adenosine agonists and myocardial perfusion imaging.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2012
    Review
  15. Nuclear cardiology: 2014 innovations and developments.Methodist DeBakey cardiovascular journal
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Wael AljaroudiDivision of Cardiovascular Medicine, Cleveland Clinic, Cleveland 44195, OH, USA. aljarow@ccf.org
Fahad Iqbal
Jayanth Koneru
Pradeep Bhambhvani
Jaekyeong Heo
Ami E Iskandrian
University of Alabama at Birmingham · USCleveland Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRegadenoson is a selective A(2A) receptor agonist that is used for vasodilator stress myocardial perfusion imaging (MPI). Since the drug is partially metabolized by the liver, its safety in patients with end-stage liver disease (ESLD) needs to be determined. METHODS AND

resultsWe studied 168 consecutive patients with ESLD who had regadenoson stress gated single photon emission computed tomography MPI between January 2008 and March 2010 before planned orthotopic liver transplantation and compared the hemodynamic responses and safety profile to 168 control patients. There were 72 women (43%) in ESLD versus 87 (52%) in the control group (P = .1). The patients with ESLD were younger (58 ± 7 vs 62 ± 12 years, P = .0002), but more likely to be Caucasians (P = .002). The MPI images were normal in 161 patients (96%) in each group. The left ventricular ejection fraction was 72 ± 10% in ESLD and 66 ± 11% in the control patients (P = .0001). The heart rate increase in response to regadenoson was lower in patients with ESLD than in the control group (16 ± 11 vs 23 ± 16 bpm, P = .0001), but the changes in systolic and diastolic blood pressures were similar (-9 ± 12 vs -11 ± 14 mmHg and -6 ± 8 vs -7 ± 10 mmHg, respectively, P = NS). There were no deaths or medication-related adverse events that required hospitalization in either group within 30 days of the study.

conclusionThis is the first study to document the tolerability and safety profile of regadenoson in patients with ESLD.

Indexed as

PurinesPyrazolesAdenosine A2 Receptor AntagonistsAgedComorbidityCoronary Artery DiseaseDrug-Related Side Effects and Adverse ReactionsExercise TestFemaleHumansLiver DiseasesMaleOhioRadionuclide ImagingRisk AssessmentRisk FactorsAdenosine A2 Receptor AntagonistsPurinesPyrazolesregadenosonVasodilator Agents

Identifiers

PMID20848256
OpenAlexW2122043213

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.