Evidence map›Paper›PMID 30261581›Full record

Trial reportInternational journal of molecular sciences2018

Blood Pressure Profile and N-Terminal-proBNP Dynamics in Response to Intravenous Methylprednisolone Pulse Therapy of Severe Graves' Orbitopathy.

Piotr Miskiewicz, Justyna Milczarek-Banach, Tomasz Bednarczuk, Grzegorz Opolski, Renata Glowczynska

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in International journal of molecular sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 34% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

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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

5 authors at 1 institution in 1 country.

Piotr MiskiewiczDepartment of Internal Medicine and Endocrinology, Medical University of Warsaw, Banacha 1a, 02097 Warsaw, Poland. piotr.miskiewicz@wum.edu.pl.ORCID 0000-0002-9024-9015
Justyna Milczarek-BanachDepartment of Internal Medicine and Endocrinology, Medical University of Warsaw, Banacha 1a, 02097 Warsaw, Poland. justynamilczarekbanach@gmail.com.
Tomasz BednarczukDepartment of Internal Medicine and Endocrinology, Medical University of Warsaw, Banacha 1a, 02097 Warsaw, Poland. tbednarczuk@wum.edu.pl.
Grzegorz OpolskiFirst Department of Cardiology, Medical University of Warsaw, Banacha 1a, 02097 Warsaw, Poland. grzegorz.opolski@wum.edu.pl.
Renata GlowczynskaFirst Department of Cardiology, Medical University of Warsaw, Banacha 1a, 02097 Warsaw, Poland. renata.glowczynska@wum.edu.pl.
Medical University of Warsaw · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hypercortisolemia is associated with increased risk of hypertension. Natural and synthetic glucocorticoids (GCs) have different effects on blood pressure (BP). The effect of synthetic GCs on BP depends on the dose, treatment duration, type of GCs, and route of administration. Intravenous methylprednisolone (IVMP) pulse therapy is the first line of treatment for severe Graves' orbitopathy (GO). The aim of this study was to evaluate influence of IVMP pulses on BP and N-terminal pro-brain natriuretic peptide (NT-proBNP) dynamics. A total of 32 patients with GO were treated with one IVMP pulse every week for 12 weeks. We performed 48-h BP monitoring (24-h before and 24-h after IVMP) and measured NT-proBNP before, 24 h, and 48 h after the 1st, 6th, and 12th IVMP pulse. Mean BP did not change after any of the pulses. We did not observe an increase in maximal systolic BP or mean nocturnal BP, except after the last pulse. Additionally, the dipping phenomenon was less frequent after the last pulse. We found a significant increase in median NT-proBNP levels after all analyzed pulses. Our study suggests that IVMP may have an unfavorable cumulative effect on BP. Variation in NT-proBNP concentration indicates a compensatory effect of brain natriuretic peptide secretion.

Indexed as

AdultBlood PressureBlood Pressure Monitoring, AmbulatoryFemaleGlucocorticoidsGraves OphthalmopathyHumansInfusions, IntravenousMaleMethylprednisoloneMiddle AgedNatriuretic Peptide, BrainPeptide FragmentsProspective StudiesPulse Therapy, DrugSeverity of Illness IndexGlucocorticoidsMethylprednisoloneNatriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)ambulatory blood pressure monitoringblood pressureglucocorticoidsGraves’ diseasegraves’ orbitopathyhypertensionmethylprednisoloneNT-proBNPpulse therapy

Identifiers

PMID30261581
PMCPMC6213036
OpenAlexW2892939858

What OpenQuestion holds

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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.