Evidence map›Paper›PMID 23558598›Full record

Trial reportMedical science monitor : international medical journal of experimental and clinical research2013

A "patient-tailored" treatment of hypertension with use of impedance cardiography: a randomized, prospective and controlled trial.

Paweł Krzesiński, Grzegorz Gerard Gielerak, Jarosław Józef Kowal

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Medical science monitor : international medical journal of experimental and clinical research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03209141 (Impedance Cardiography in the Evaluation of Left Ventricular Diastolic Dysfunction in Patients With Arterial Hypertension Study), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
5.5field-weighted citation impact, top 4% 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.

NCT03209141 completednot on this mapstarted 2015, after this paper: background citation

Impedance Cardiography in the Evaluation of Left Ventricular Diastolic Dysfunction in Patients With Arterial Hypertension Study (IMPEDDANS)

TypeobservationalSponsorCentro Hospitalar de Lisboa CentralRan2015 to 2018Enrolled154ConditionsHypertension, Diastolic DysfunctionArmsDiastolic function evaluation
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 45 citations in OpenAlex.

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  14. Ambulatory blood pressure monitoring can unmask hypertension in patients with psoriasis vulgaris.Medical science monitor : international medical journal of experimental and clinical research · 2013
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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 1 institution in 1 country.

Paweł KrzesińskiDepartment of Cardiology and Internal Diseases, Military Institute of Medicine, Warsaw, Poland. pkrzesinski@wim.mil.pl
Grzegorz Gerard Gielerak
Jarosław Józef Kowal
Wojskowy Instytut Medycyny Lotniczej · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundArterial hypertension might be caused by hemodynamic disturbances such as fluid retention, increased vascular resistance, and hyperdynamic function of the heart. The aim of this study was to estimate the effectiveness of antihypertensive therapy based on hemodynamic assessment by impedance cardiography in a randomized, prospective, controlled trial. MATERIAL AND

methodsThis study involved 128 patients (average age: 42.9 ± 11.1 years) with arterial hypertension, randomized into groups: (1) empiric, and (2) hemodynamic, in which treatment choice considered impedance cardiography results. Evaluation of treatment effects was performed after 12 weeks and included office blood pressure measurement and ambulatory blood pressure monitoring.

resultsAll final blood pressure values were lower in the hemodynamic group, significantly for office systolic blood pressure (empiric vs. hemodynamic: 136.1 vs. 131.6 mmHg; p=0.036) and diastolic blood pressure (87.0 vs. 83.7 mmHg; p=0.013), as well as night-time systolic blood pressure (121.3 vs. 117.2 mmHg; p=0.023) and diastolic blood pressure (71.9 vs. 68.4 mmHg; p=0.007). Therapy based on impedance cardiography significantly increased the reduction in office systolic blood pressure (11.0 vs. 17.3 mmHg; p=0.008) and diastolic blood pressure (7.7 vs. 12.2 mmHg; p=0.0008); as well as 24-h mean systolic blood pressure (9.8 vs. 14.2 mmHg; p=0.026), daytime systolic blood pressure (10.5 vs. 14.8 mmHg; p=0.040), and night-time systolic blood pressure (7.7 vs. 12.2 mmHg; p=0.032).

conclusionsAntihypertensive treatment based on impedance cardiography can significantly increase blood pressure reduction in hypertensive patients.

Indexed as

Precision MedicineAdultAgedBlood PressureCardiography, ImpedanceFemaleHumansHypertensionMaleMiddle AgedProspective StudiesYoung Adult

Identifiers

PMID23558598
PMCPMC3659156
OpenAlexW2120920334

What OpenQuestion holds

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Registered trials

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.