Evidence map›Paper›PMID 23431423›Full record

ArticleInternational journal of hypertension2013

Elevated blood pressure in the acute phase of stroke and the role of Angiotensin receptor blockers.

Simona Lattanzi, Mauro Silvestrini, Leandro Provinciali

Abstract read
In one paragraph

Article in International journal of hypertension, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

34 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Sleep and brain health.Journal of clinical hypertension (Greenwich, Conn.) · 2020
    Article
  12. Review
  13. Hypertension and arterial stiffness.Journal of clinical hypertension (Greenwich, Conn.) · 2019
    Article
  14. Managing blood pressure in acute intracerebral hemorrhage.Journal of clinical hypertension (Greenwich, Conn.) · 2019
    Article
  15. Article
  16. Changes in Event-Related Potentials Underlying Coma Recovery in Patients with Large Left Hemispheric Infarction.Medical science monitor : international medical journal of experimental and clinical research · 2019
    Article
  17. Blood pressure and stroke: From incidence to outcome.Journal of clinical hypertension (Greenwich, Conn.) · 2019
    Article
  18. Review
  19. Article
  20. Sleep and blood pressure.Journal of clinical hypertension (Greenwich, Conn.) · 2018
    Article
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.

Simona LattanziNeurological Clinic, Department of Experimental and Clinical Medicine, Marche Polytechnic University, Via Conca 71, 60020 Ancona, Italy.
Mauro Silvestrini
Leandro Provinciali

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Raised blood pressure (BP) is common after stroke but its causes, effects, and management still remain uncertain. We performed a systematic review of randomized controlled trials that investigated the effects of the angiotensin receptor blockers (ARBs) administered in the acute phase (≤72 hours) of stroke on death and dependency. Trials were identified from searching three electronic databases (Medline, Cochrane Library and Web of Science Database). Three trials involving 3728 patients were included. Significant difference in BP values between treatment and placebo was found in two studies. No effect of the treatment was seen on dependency, death and vascular events at one, three or six months; the cumulative mortality and the number of vascular events at 12 months differed significantly in favour of treatment in one small trial which stopped prematurely. Evidence raises doubts over the hypothesis of a specific effect of ARBs on short- and medium-term outcomes of stroke. It is not possible to rule out that different drugs might have different effects. Further trials are desirable to clarify whether current findings are generalizable or there are subgroups of patients or different approaches to BP management for which a treatment benefit can be obtained.

Identifiers

PMID23431423
PMCPMC3574652

What OpenQuestion holds

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Registered trials

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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.