Evidence map›Paper›PMID 30267334›Full record

ReviewCurrent hypertension reports2018

Chronotherapy for Hypertension.

N P Bowles, S S Thosar, M X Herzig, S A Shea

Erratum issued Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Current hypertension reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT05322967 (Chronotherapy in Hypertension - a Study of Blood Pressure Levels Following Intake of Antihypertensive Medication in the Morning or at Bedtime), which is not on this map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
12.8field-weighted citation impact, top 1% 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.

NCT05322967 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Chronotherapy in Hypertension - a Study of Blood Pressure Levels Following Intake of Antihypertensive Medication in the Morning or at Bedtime

TypeinterventionalSponsorVastra Gotaland RegionRan2022 to 2025Enrolled120ConditionsHypertension, Drug Therapy, Primary Health CareArmsTime of ordinary antihypertensive medication intake
3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 126 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Review
  12. Demonstrating the Benefits of Antihypertensive Nighttime Dosing and Indapamide Usage in Hypertension Management.The Journal of pharmacy technology : jPT : official publication of the Association of Pharmacy Technicians · 2024
    Article
  13. Review
  14. Review
  15. Article
  16. Review
  17. Biological rhythms and epilepsy treatment.Frontiers in neurology · 2023
    Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

N P BowlesOregon Institute of Occupational Health Sciences, Oregon Health and Sciences University, 3181 S.W. Sam Jackson Park Rd. L606, Portland, OR, 97239, USA. bowlesn@ohsu.edu.
S S ThosarOregon Institute of Occupational Health Sciences, Oregon Health and Sciences University, 3181 S.W. Sam Jackson Park Rd. L606, Portland, OR, 97239, USA.
M X HerzigOregon Institute of Occupational Health Sciences, Oregon Health and Sciences University, 3181 S.W. Sam Jackson Park Rd. L606, Portland, OR, 97239, USA.
S A SheaOregon Institute of Occupational Health Sciences, Oregon Health and Sciences University, 3181 S.W. Sam Jackson Park Rd. L606, Portland, OR, 97239, USA.
Oregon Health & Science University · US

Funding

Circadian mechanisms of cardiovascular risk in obesityR01HL140577 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI EMENS, JONATHAN S, LINK, JEANNE MEYERS · 2017 to 2020
$2.9M
Circadian rhythms and cardiovascular riskR01HL125893 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI SHEA, STEVEN A · 2015 to 2018
$2.7M
Sleep and Circadian Mechanisms Contributing to Disparity in Prevalence of Hypertension Between Black and White AmericansR01HL142064 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI SHEA, STEVEN A · 2018 to 2020
$2.4M
Circadian disruption, physical inactivity and cardiovascular riskF32HL131308 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI THOSAR, SAURABH SUHAS · 2016 to 2017
$115k
NHLBI NIH HHS F32 HL131308NHLBI NIH HHS R01 HL125893NHLBI NIH HHS R01 HL140577NHLBI NIH HHS R01 HL142064
6 · The paper itself

Abstract

purpose of reviewGiven the emerging knowledge that circadian rhythmicity exists in every cell and all organ systems, there is increasing interest in the possible benefits of chronotherapy for many diseases. There is a well-documented 24-h pattern of blood pressure with a morning surge that may contribute to the observed morning increase in adverse cardiovascular events. Historically, antihypertensive therapy involves morning doses, usually aimed at reducing daytime blood pressure surges, but an absence of nocturnal dipping blood pressure is also associated with increased cardiovascular risk. RECENT

findingsTo more effectively reduce nocturnal blood pressure and still counteract the morning surge in blood pressure, a number of studies have examined moving one or more antihypertensives from morning to bedtime dosing. More recently, such studies of chronotherapy have studied comorbid populations including obstructive sleep apnea, chronic kidney disease, or diabetes. Here, we summarize major findings from recent research in this area (2013-2017). In general, nighttime administration of antihypertensives improved overall 24-h blood pressure profiles regardless of disease comorbidity. However, inconsistencies between studies suggest a need for more prospective randomized controlled trials with sufficient statistical power. In addition, experimental studies to ascertain mechanisms by which chronotherapy is beneficial could aid drug design and guidelines for timed administration.

Indexed as

Drug ChronotherapyAntihypertensive AgentsDiabetes ComplicationsHumansHypertensionRenal Insufficiency, ChronicSleep Apnea, ObstructiveAntihypertensive AgentsBlood pressureChronotherapyCircadian rhythmsHypertensionNon-dippingSleep

Identifiers

PMID30267334
PMCPMC6491046
OpenAlexW2894424219

What OpenQuestion holds

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LicenceTDM
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.