Evidence map›Paper›PMID 27488394›Full record

Trial reportBMC anesthesiology2016

Effect of ramosetron on QTc interval: a randomised controlled trial in patients undergoing off-pump coronary artery bypass surgery.

Tae Kyong Kim, Youn Joung Cho, Chae-Won Lim, Jeong Jin Min, Eue-Keun Choi, Deok Man Hong, Yunseok Jeon

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC anesthesiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 73% 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.

NCT02139241 nacompletednot on this map

The Efficacy and Safety of Ramosetron in Patients Undergoing Off Pump Coronary Artery Bypass Surgery

TypeinterventionalSponsorSeoul National University HospitalRan2013 to 2014Enrolled114ConditionsCoronary Artery Bypass Graft Triple Vessel, HypotensionArmsRamosetron, Normal saline
NCT03232125 nacompletednot on this mapstarted 2017, after this paper: background citation

Effect of Ramosetron on Heart Rate-corrected QT Interval During Robot-assisted Laparoscopic Prostatectomy With Steep Trendelenburg Position

TypeinterventionalSponsorYonsei UniversityRan2017 to 2020Enrolled54ConditionsProstate CancerArmsRamosetron, Normal saline
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

7 authors at 3 institutions in 1 country.

Tae Kyong KimDepartment of Anaesthesiology and Pain medicine, Seoul National University Hospital, Daehakro 101, Jongno-gu, Seoul, 110-744, Korea.
Youn Joung ChoDepartment of Anaesthesiology and Pain medicine, Seoul National University Hospital, Daehakro 101, Jongno-gu, Seoul, 110-744, Korea.
Chae-Won LimDepartment of Anaesthesiology and Pain Medicine, Cheorwon Gil Hospital, Gangwon-Do, Korea.
Jeong Jin MinDepartment of Anaesthesiology and Pain Medicine, Samsung Medical Centre, Seoul, Korea.
Eue-Keun ChoiDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Deok Man HongDepartment of Anaesthesiology and Pain medicine, Seoul National University Hospital, Daehakro 101, Jongno-gu, Seoul, 110-744, Korea.
Yunseok JeonDepartment of Anaesthesiology and Pain medicine, Seoul National University Hospital, Daehakro 101, Jongno-gu, Seoul, 110-744, Korea. jeonyunseok@gmail.com.
Seoul National University Hospital · KRDeleted InstitutionSamsung Medical Center · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRamosetron is a relatively new 5-hydroxytryptamine three receptor antagonist with higher binding affinity and more prolonged duration of action compared to ondansetron. The present study was performed to evaluate the effects of ramosetron on QTc interval and possible cardiovascular adverse effects in patients undergoing cardiac surgery.

methodA total of 114 patients who underwent off-pump coronary artery bypass surgery were enrolled in this randomised placebo-controlled trial. Patients were allocated into two groups that received intravenous injection of 0.3 mg ramosetron or normal saline during induction of anaesthesia. QTc intervals were measured before the operation, intraoperatively (0, 1, 2, 3, 5, 10, 15, 30, 45, 60, 90, 120, and 240 min after injection of ramosetron or normal saline), at the end of the operation, and on postoperative day 1.

resultsThere were no differences in mean QTc interval between groups at every time point. However, maximal change in QTc interval during surgery was higher in the ramosetron group than the placebo group (25.1 ± 22.0 vs. 17.5 ± 14.5 ms, 95 % CI 0.34-14.78, P = 0.040). Also, there were more patients with a QTc interval increase of > 60 ms in the ramosetron group (5 vs. 0, 95 % CI 1.6-18.0, P = 0.021). There were no significant differences in cardiovascular complications.

conclusionsRamosetron administered during induction of anaesthesia may affect maximal change in QTc interval during off-pump coronary artery bypass surgery. Ramosetron should be used with caution in high risk patients for developing Torsades de Pointes.

trial registrationClinicalTrials.gov NCT02139241. Registered November 12, 2013.

Indexed as

AgedAntiemeticsBenzimidazolesCoronary Artery Bypass, Off-PumpDouble-Blind MethodElectrocardiographyFemaleHumansLong QT SyndromeMaleMiddle AgedProspective StudiesSerotonin AntagonistsTime FactorsAntiemeticsBenzimidazolesramosetronSerotonin AntagonistsCardiac surgeryCorrected QT intervalRamosetronSerotonin 5-HT3 receptor antagonistsTorsadogenic action

Identifiers

PMID27488394
PMCPMC4972982
OpenAlexW2503121378

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.