Evidence map›Paper›PMID 25835002›Full record

Trial reportPloS one2015

Effects of verapamil SR and atenolol on 24-hour blood pressure and heart rate in hypertension patients with coronary artery disease: an international verapamil SR-trandolapril ambulatory monitoring substudy.

Scott J Denardo, Yan Gong, Rhonda M Cooper-DeHoff, Csaba Farsang, Matyas Keltai, László Szirmai, Franz H Messerli, Anthony A Bavry, Eileen M Handberg, Giuseppe Mancia and 1 more

Erratum issuedOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 32% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Practical compendium of antiarrhythmic drugs: a clinical consensus statement of the European Heart Rhythm Association of the European Society of Cardiology.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025
    Review
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 3 countries.

Scott J DenardoDivision of Cardiovascular Medicine, College of Medicine, University of Florida, Gainesville, Florida, United States of America.
Yan GongCenter for Pharmacogenomics, College of Pharmacy, University of Florida, Gainesville, Florida, United States of America.
Rhonda M Cooper-DeHoffDivision of Cardiovascular Medicine, College of Medicine, University of Florida, Gainesville, Florida, United States of America; Department of Pharmacotherapy and Translational Research, College of Pharmacy, University of Florida, Gainesville, Florida, United States of America.
Csaba FarsangSt Imre Teaching Hospital Cardiometabolic Centre, Budapest, Hungary.
Matyas KeltaiSemmelweis University, Hungarian Institute of Cardiology, Budapest, Hungary.
László SzirmaiN&Sz StudyMaster Medical Research Center Ltd., Szentendre, Hungary.
Franz H MesserliDivision of Cardiology, St Luke's-Roosevelt Hospital Center and Columbia University, College of Medicine and Physicians, New York, New York, United States of America.
Anthony A BavryDivision of Cardiovascular Medicine, College of Medicine, University of Florida, Gainesville, Florida, United States of America; North Florida/South Georgia Veterans Affairs Health System, Gainesville, Florida, United States of America.
Eileen M HandbergDivision of Cardiovascular Medicine, College of Medicine, University of Florida, Gainesville, Florida, United States of America.
Giuseppe ManciaClinica Medica, Ospedale San Gerardo dei Tintori Monza, University of Milano-Bicocca, Milan, Italy.
Carl J PepineDivision of Cardiovascular Medicine, College of Medicine, University of Florida, Gainesville, Florida, United States of America.
University of Florida · USNorth Florida/South Georgia Veterans Health System · USSemmelweis University · HUSt. Luke's-Roosevelt Hospital Center · USSzent Imre Egyetemi Oktatókórház · HUUniversity of Milano-Bicocca · IT

Funding

Using social networks to map and evaluate team science across CTSA hubsUL1TR001427 · NCATS · UNIVERSITY OF FLORIDA · PI MITCHELL, DUANE A. · 2015 to 2024
$37.2M
UF Clinical and Translational Science AwardUL1TR000064 · NCATS · UNIVERSITY OF FLORIDA · PI NELSON, DAVID R · 2012 to 2014
$12.2M
Metabolic Effects of Antihypertensive DrugsK23HL086558 · NHLBI · UNIVERSITY OF FLORIDA · PI COOPER-DEHOFF, RHONDA M · 2007 to 2011
$672k
NCATS NIH HHS UL1 TR000064NCATS NIH HHS UL1 TR001427NHLBI NIH HHS K23 HL086558
6 · The paper itself

Abstract

Elevated nighttime blood pressure (BP) and heart rate (HR), increased BP and HR variability, and altered diurnal variations of BP and HR (nighttime dipping and morning surge) in patients with systemic hypertension are each associated with increased adverse cardiovascular events. However, there are no reports on the effect of hypertension treatment on these important hemodynamic parameters in the growing population of hypertensive patients with atherosclerotic coronary artery disease (CAD). This was a pre-specified subgroup analysis of the INternational VErapamil SR-Trandolapril STudy (INVEST), which involved 22,576 clinically stable patients aged ≥ 50 years with hypertension and CAD randomized to either verapamil SR- or atenolol-based hypertension treatment strategies. The subgroup consisted of 117 patients undergoing 24-hour ambulatory monitoring at baseline and after 1 year of treatment. Hourly systolic and diastolic BP (SBP and DBP) decreased after 1 year for both verapamil SR- and atenolol-based treatment strategies compared with baseline (P<0.0001). Atenolol also decreased hourly HR (P<0.0001). Both treatment strategies decreased SBP variability (weighted standard deviation: P = 0.012 and 0.021, respectively). Compared with verapamil SR, atenolol also increased the prevalence of BP and HR nighttime dipping among prior non-dippers (BP: OR = 3.37; 95% CI: 1.26-8.97 P = 0.015; HR: OR = 4.06; 95% CI: 1.35-12.17; P = 0.012) and blunted HR morning surge (+2.8 vs. +4.5 beats/min/hr; P = 0.019). Both verapamil SR- and especially atenolol-based strategies resulted in favorable changes in ambulatory monitoring parameters that have been previously associated with increased adverse cardiovascular events.

Indexed as

AgedAntihypertensive AgentsAtenololBlood PressureCoronary Artery DiseaseDrug Therapy, CombinationFemaleHeart RateHumansHypertensionIndolesMaleMiddle AgedMonitoring, AmbulatoryPhotoperiodProspective StudiesAntihypertensive AgentsAtenololIndolestrandolaprilVerapamil

Identifiers

PMID25835002
PMCPMC4383326
OpenAlexW2085290834

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.