Evidence map›Paper›PMID 21951628›Full record

ReviewEuropean heart journal2011

Therapeutic perspectives in hypertension: novel means for renin-angiotensin-aldosterone system modulation and emerging device-based approaches.

Thomas Unger, Ludovit Paulis, Domenic A Sica

Open access · hybridAbstract readReview
In one paragraph

Review in European heart journal, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
8.6field-weighted citation impact, top 2% 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

37 citing papers in PubMed, 111 citations in OpenAlex.

  1. Long-term (52-week) safety and efficacy of Sacubitril/valsartan in Asian patients with hypertension.Hypertension research : official journal of the Japanese Society of Hypertension · 2017
    Trial
  2. Trial
  3. Review
  4. Article
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  7. Role of store-operated Ca2+ entry in cardiovascular disease.Cell communication and signaling : CCS · 2022
    Review
  8. Review
  9. Article
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  11. Article
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  13. Review
  14. Article
  15. Heart Failure in Type 2 Diabetes Mellitus.Circulation research · 2019
    Review
  16. Article
  17. A Practical Approach to Hypertension Management in Diabetes.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2017
    Review
  18. Article
  19. Article
  20. 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

3 authors at 3 institutions in 3 countries.

Thomas UngerCenter for Cardiovascular Research, Charité-University Medicine, Hessische Str 3-4, Berlin 10115, Germany. thomas.unger@charite.de
Ludovit Paulis
Domenic A Sica
Charité - Universitätsmedizin Berlin · DESlovak Academy of Sciences · SKVirginia Commonwealth University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The conventional antihypertensive therapies including renin-angiotensin-aldosterone system antagonists (converting enzyme inhibitors, receptor blockers, renin inhibitors, and mineralocorticoid receptor blockers), diuretics, β-blockers, and calcium channel blockers are variably successful in achieving the challenging target blood pressure values in hypertensive patients. Difficult to treat hypertension is still a commonly observed problem world-wide. A number of drugs are considered to be used as novel therapies for hypertension. Renalase supplementation, vasopeptidase inhibitors, endothelin antagonists, and especially aldosterone antagonists (aldosterone synthase inhibitors and novel selective mineralocorticoid receptor blockers) are considered an option in resistant hypertension. In addition, the aldosterone antagonists as well as (pro)renin receptor blockers or AT(2) receptor agonists might attenuate end-organ damage. This array of medications has now been complemented by a number of new approaches of non-pharmacological strategies including vaccination, genomic interference, controlled breathing, baroreflex activation, and probably most successfully renal denervation techniques. However, the progress on innovative therapies seems to be slow and the problem of resistant hypertension and proper blood pressure control appears to be still persisting. Therefore the regimens of currently available drugs are being fine-tuned, resulting in the establishment of several novel fixed-dose combinations including triple combinations with the aim to facilitate proper blood pressure control. It remains an exciting question which approach will confer the best blood pressure control and risk reduction in this tricky disease.

Indexed as

Adrenergic beta-AntagonistsAngiotensin-Converting Enzyme InhibitorsAntihypertensive AgentsCytochrome P-450 CYP11B2Drug CombinationsEndothelin Receptor AntagonistsEnzyme InhibitorsGenetic TherapyHumansHypertensionMineralocorticoid Receptor AntagonistsMonoamine OxidasePressoreceptorsProrenin ReceptorProtease InhibitorsReceptors, Cell SurfaceAdrenergic beta-AntagonistsAngiotensin-Converting Enzyme InhibitorsAntihypertensive AgentsCytochrome P-450 CYP11B2Drug CombinationsEndothelin Receptor AntagonistsEnzyme InhibitorsMineralocorticoid Receptor AntagonistsMonoamine OxidaseProrenin ReceptorProtease InhibitorsReceptors, Cell SurfacerenalaseRenin InhibitorsVaccines

Identifiers

PMID21951628
PMCPMC3214724
OpenAlexW2106472209

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.