Evidence map›Paper›PMID 29433586›Full record

ReviewBMC pharmacology & toxicology2018

A case report of clonidine induced syncope: a review of central actions of an old cardiovascular drug.

Alexander J Sandweiss, Christopher M Morrison, Anne Spichler, John Rozich

Open access · goldAbstract readCase ReportsReview
In one paragraph

Review in BMC pharmacology & toxicology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Review
  3. 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

4 authors at 2 institutions in 1 country.

Alexander J SandweissUniversity of Arizona, Department of Pharmacology, College of Medicine, 1501 N. Campbell Ave LSN 621, Tucson, AZ, 85724, USA. asand@email.arizona.edu.
Christopher M MorrisonUniversity of Arizona, Department of Medicine, College of Medicine, Tucson, AZ, USA.
Anne SpichlerUniversity of Arizona, Department of Medicine, College of Medicine, Tucson, AZ, USA.
John RozichSouthern Arizona Veterans Affairs Health Care System, Tucson, AZ, USA.
University of Arizona · USSouthern Arizona VA Health Care System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClonidine is an imidazoline sympatholytic, acting on both α CASE PRESENTATION: A 69-year-old gentleman with hypertension presented to the emergency department after multiple syncopal episodes over the past 12 months. Electrocardiogram demonstrated sinus bradycardia with a heart rate of 42 beats per minute. It was hypothesized that the antihypertensive agent clonidine was responsible for inducing symptomatic bradycardia. Clonidine was thus gradually tapered and then discontinued over five days restoring normal sinus rhythm rates while avoiding hypertensive rebound related to sympathetic surge. His heart rate and blood pressure remained within normal limits after the clonidine taper and subsequent adjustments to his other hypertensive medications and he was discharged.

conclusionsWhile clonidine has fallen out of favor for its indication as an antihypertensive, it remains a viable option for the use of opioid withdrawal, chronic pain, and smoking cessation, necessitating the appropriate clinical and pharmacological competencies for a physician to prescribe. A discussion of the clinical effects of clonidine brainstem receptor activation follows.

Indexed as

AgedAntihypertensive AgentsClonidineHumansMaleSyncopeAntihypertensive AgentsClonidineBasic pharmacologyBrainstemClonidine

Identifiers

PMID29433586
PMCPMC5810118
OpenAlexW2787436146

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.