Evidence map›Paper›PMID 30449991›Full record

ArticleActa Cardiologica Sinica2018

Efficacy of Antihypertensive Therapy in the Acute Stage of Cerebral Infarction - A Prospective, Randomized Control Trial.

Youjia Li, Zhigeng Zhong, Songbao Luo, Xiaoyan Han, Yuchan Liang, Genlin Huang, Weikun Zhou, Qiong Ding, Yan Huang, Zhenmei Wu

Abstract read
In one paragraph

Article in Acta Cardiologica Sinica, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
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  3. Review
  4. Article
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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

10 authors.

Youjia LiDepartment of Neurology, The First People's Hospital of Zhaoqing, Guangdong Province, China.
Zhigeng ZhongDepartment of Neurology, The First People's Hospital of Zhaoqing, Guangdong Province, China.
Songbao LuoDepartment of Neurology, The First People's Hospital of Zhaoqing, Guangdong Province, China.
Xiaoyan HanDepartment of Neurology, The First People's Hospital of Zhaoqing, Guangdong Province, China.
Yuchan LiangDepartment of Neurology, The First People's Hospital of Zhaoqing, Guangdong Province, China.
Genlin HuangDepartment of Neurology, The First People's Hospital of Zhaoqing, Guangdong Province, China.
Weikun ZhouDepartment of Neurology, The First People's Hospital of Zhaoqing, Guangdong Province, China.
Qiong DingDepartment of Neurology, The First People's Hospital of Zhaoqing, Guangdong Province, China.
Yan HuangDepartment of Neurology, The First People's Hospital of Zhaoqing, Guangdong Province, China.
Zhenmei WuDepartment of Neurology, The First People's Hospital of Zhaoqing, Guangdong Province, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study investigated whether patients in the acute stage of cerebral infarction (ACI) might benefit from single-drug antihypertensive therapy (AT) without the use of preset target levels.

methodsA total of 320 ACI patients were randomly divided into an AT group and a control group (group C) (160 patients in each group). The AT group received single antihypertensive drug treatment after the first 48 hours of onset with 5 mg of amlodipine besylate or 150 mg of irbesartan once a day. The primary end-point event was mortality on the 14

resultsThe National Institutes of Health Stroke Scale (NIHSS) score was 8.39 ± 3.21 vs. 8.16 ± 3.27 in the AT and C groups on entry to the study. On day 14, there were no significant differences in mortality (2.5% vs. 3.1%, p = 0.9994), SDS (50.0% vs. 49.0%, p = 0.864), and mortality/disability ratio (61.3% vs. 66.3%, p = 0.352) between the two groups, however the RR-CVE in the AT group was lower than in group C (4.4% vs. 11.9%, p = 0.014). In month 6, there were no significant difference in mortality rate between the two groups (3.1% vs. 3.8%, p = 0.767), however the SDS (23.4% vs. 34.4%, p = 0.033), mortality/disability ratio (32.1% vs. 45.0%, p = 0.018), and RR-CVE in group AT were lower than in group C (10.7% vs. 19.4%, p = 0.030).

conclusionsAppropriate AT for patients with ACI does not worsen the disease condition and may improve the prognosis for the patients with moderate or mild stroke severity.

Indexed as

Acute cerebral infarctionAntihypertensive therapyPrognosisRandomized control trial

Identifiers

PMID30449991
PMCPMC6236568

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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.