Evidence map›Paper›PMID 29642208›Full record

SynthesisMedicine2018

Cardioprotective effect of histamine H2 antagonists in congestive heart failure: A systematic review and meta-analysis.

Juan Zhang, Wen-Ke Cai, Zheng Zhang, Ping Wang, Xiao-Qian Lin, Ju Feng, Suo-Chao Fu, Gong-Hao He

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.4field-weighted citation impact, top 20% 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

19 citing papers in PubMed, 29 citations in OpenAlex.

  1. Histamine HJournal of the American Heart Association · 2022
    Trial
  2. Article
  3. Article
  4. Article
  5. Mast Cells in Cardiac Remodeling: Focus on the Right Ventricle.Journal of cardiovascular development and disease · 2024
    Review
  6. Review
  7. Observational
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. The Roles of Cardiovascular HFrontiers in pharmacology · 2021
    Review
  15. Article
  16. Article
  17. Review
  18. Review
  19. 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

8 authors at 4 institutions in 1 country.

Juan ZhangResearch Center of Clinical Pharmacology, Yunnan Provincial Hospital of Traditional Chinese Medicine Department of Pharmacy Department of Cardio-Thoracic Surgery, Kunming General Hospital of PLA, Kunming Medical Engineering Section, the 306th Hospital of PLA, Beijing Department of Orthopaedics, Guangzhou General Hospital of PLA, Guangzhou, China.
Wen-Ke Cai
Zheng Zhang
Ping Wang
Xiao-Qian Lin
Ju Feng
Suo-Chao Fu
Gong-Hao He
The First Hospital of Kunming · CNGeneral Hospital of Guangzhou Military Command · CNPLA 306 Hospital · CNYunnan Provincial Hospital of Traditional Chinese Medicine · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHistamine H2 antagonists (H2RAs) have long been suggested to have beneficial effects on congestive heart failure (CHF). However, full agreement about the cardioprotective effects of H2RAs is still not reached yet. Therefore, this study aims to clarify the effects of H2RAs on myocardial function in CHF patients by meta-analysis.

methodsElectronic databases including PubMed, Embase, and Cochrane Library were retrieved. Randomized controlled trials comparing the cardiac effects of H2RAs and placebo or other medicines were collected. Pooled mean differences (MDs) with 95% confidence intervals (CIs) were calculated and meta-analysis was performed using RevMan 5.3 software.

resultsA total of 10 studies (472 participants) were included in this meta-analysis. H2RAs exhibited significant negative inotropic and chronotropic effects to reduce heart rate (MD: -3.90; 95%CI: -7.07 to -0.73, P = .02). Furthermore, although H2RAs did not affect the blood pressure in health volunteers, they significantly decreased the blood pressure of CHF patients. Additionally, H2RAs were also associated with significant increase in pre-ejection period and the ratio of pre-ejection period to left ventricular ejection time.

conclusionIn summary, these findings showed that H2RAs exerted negative inotropic and chronotropic effects to reduce heart rate and blood pressure, which, similar to beta-adrenergic receptor blockers, might decrease myocardial oxygen demand and eventually result in improvement of CHF symptoms. These data provided further evidence for the effect of H2RAs on cardiac function and novel potential strategy for treatment of CHF.

Indexed as

Cardiotonic AgentsHeartHeart FailureHistamine H2 AntagonistsHumansRandomized Controlled Trials as TopicCardiotonic AgentsHistamine H2 Antagonists

Identifiers

PMID29642208
PMCPMC5908598
OpenAlexW2803461619

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.