Evidence map›Paper›PMID 27648007›Full record

ArticleCardiorenal medicine2016

Beta-Blocker Use Is Associated with Higher Renal Tissue Oxygenation in Hypertensive Patients Suspected of Renal Artery Stenosis.

Michael E Hall, Michael V Rocco, Timothy M Morgan, Craig A Hamilton, Jennifer H Jordan, Matthew S Edwards, John E Hall, William G Hundley

Open access · bronzeAbstract read
In one paragraph

Article in Cardiorenal medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 13% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Renal blood oxygenation level-dependent magnetic resonance imaging to measure renal tissue oxygenation: a statement paper and systematic review.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2018
    Pooled it
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  15. BOLD magnetic resonance imaging in nephrology.International journal of nephrology and renovascular disease · 2018
    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

8 authors at 5 institutions in 3 countries.

Michael E HallDivision of Cardiology, Department of Medicine, University of Mississippi Medical Center, Jackson, Miss, N.C., USA; Department of Physiology and Biophysics, University of Mississippi Medical Center, Jackson, Miss, N.C., USA.
Michael V RoccoDivision of Nephrology, Department of Medicine, Wake Forest University School of Medicine, Winston-Salem, N.C., USA.
Timothy M MorganBiostatistical Sciences, Wake Forest University School of Medicine, Winston-Salem, N.C., USA.
Craig A HamiltonBiomedical Engineering, Wake Forest University School of Medicine, Winston-Salem, N.C., USA.
Jennifer H JordanDivision of Cardiovascular Medicine, Department of Medicine, Wake Forest University School of Medicine, Winston-Salem, N.C., USA.
Matthew S EdwardsVascular Surgery, Wake Forest University School of Medicine, Winston-Salem, N.C., USA.
John E HallDepartment of Physiology and Biophysics, University of Mississippi Medical Center, Jackson, Miss, N.C., USA.
William G HundleyDivision of Cardiovascular Medicine, Department of Medicine, Wake Forest University School of Medicine, Winston-Salem, N.C., USA; Radiology, Wake Forest University School of Medicine, Winston-Salem, N.C., USA.
Cardiovascular Research Center · BRBiostatistical Consulting (United States) · USEmory University Hospital · USInstitute of Biophysics and Biomedical Engineering · BGJackson Memorial Hospital · US

Funding

Wake Forest Claude D. Pepper OAIC - RenewalP30AG021332 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Denise Kathryn Houston · 2002 to 2026
$36.4M
The role of leptin in autoimmune-associated hypertensionP20GM104357 · NIGMS · UNIVERSITY OF MISSISSIPPI MED CTR · PI TAYLOR, ERIN BASSFORD · 2013 to 2022
$23.4M
Vascular Stiffness and Pulmonary CongestionR01HL076438 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI HUNDLEY, WILLIAM GREGORY · 2007 to 2011
$3.2M
Comprehensive MR Imaging of Elderly Vascular Function: Phase IIR42AG030248 · NIA · MRI CARDIAC SERVICES, INC. · PI HUNDLEY, WILLIAM GREGORY · 2010 to 2011
$814k
Renal Sinus Fat, Hypertension, and Altered Kidney FunctionK08DK099415 · NIDDK · UNIVERSITY OF MISSISSIPPI MED CTR · PI HALL, MICHAEL EDWARD · 2015 to 2019
$791k
Multidisciplinary Training in Cardiovascular ImagingT32HL091824 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI HUNDLEY, WILLIAM GREGORY · 2009 to 2013
$707k
NHLBI NIH HHS R01 HL076438NHLBI NIH HHS T32 HL091824NIA NIH HHS P30 AG021332NIA NIH HHS R42 AG030248NIDDK NIH HHS K08 DK099415NIGMS NIH HHS P20 GM104357
6 · The paper itself

Abstract

backgroundChronic renal hypoxia influences the progression of chronic kidney disease (CKD). Blood oxygen level-dependent (BOLD) magnetic resonance (MR) is a noninvasive tool for the assessment of renal oxygenation. The impact of beta-blockers on renal hemodynamics and oxygenation is not completely understood. We sought to determine the association between beta-blocker use, renal cortical and medullary oxygenation, and renal blood flow in patients suspected of renal artery stenosis.

methodsWe measured renal cortical and medullary oxygenation using BOLD MR and renal artery blood flow using MR phase contrast techniques in 38 participants suspected of renal artery stenosis.

resultsChronic beta-blocker therapy was associated with improved renal cortical (p < 0.001) and medullary (p = 0.03) oxygenation, while the use of calcium channel blockers or diuretics showed no association with either cortical or medullary oxygenation. Receipt of angiotensin-converting enzyme inhibitors or angiotensin receptor blockers was associated with reduced medullary oxygenation (p = 0.01). In a multivariable model, chronic receipt of beta-blockers was the only significant predictor of renal tissue oxygenation (β = 8.4, p = 0.008). Beta-blocker therapy was not associated with significant changes in renal artery blood flow, suggesting that improved renal oxygenation may be related to reduced renal oxygen consumption.

conclusionsIn addition to known benefits to reduce cardiovascular mortality in patients with renal disease, beta-blockers may reduce or prevent the progression of renal dysfunction in patients with hypertension, diabetes, and renovascular disease, partly by reducing renal oxygen consumption. These observations may have important implications for the treatment of patients with CKD.

Indexed as

Beta-blockersMR imagingRenal oxygenation

Identifiers

PMID27648007
PMCPMC5020395
OpenAlexW2337906701

What OpenQuestion holds

Textmetadata
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.