Evidence map›Paper›PMID 30643384›Full record

SynthesisDrug design, development and therapy2019

Urapidil, compared to nitroglycerin, has better clinical safety in the treatment of hypertensive patients with acute heart failure: a meta-analysis.

Jiaxiao Shi, Yulin Li, Cong Xing, Peng Peng, Hongyu Shi, Han Ding, Pengyuan Zheng, Guangzhi Ning, Shiqing Feng

Open access · goldAbstract readComparative StudyMeta-Analysis
In one paragraph

Synthesis in Drug design, development and therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.3field-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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Clinical Review of Hypertensive Acute Heart Failure.Medicina (Kaunas, Lithuania) · 2024
    Review
  4. Article
  5. Review
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

9 authors at 1 institution in 1 country.

Jiaxiao ShiDepartment of Orthopaedics, Tianjin Medical University General Hospital, Heping District, Tianjin 300052, PR China, sqfeng@tmu.edu.cn; ningguangzhi@foxmail.com.
Yulin LiDepartment of Orthopaedics, Tianjin Medical University General Hospital, Heping District, Tianjin 300052, PR China, sqfeng@tmu.edu.cn; ningguangzhi@foxmail.com.
Cong XingDepartment of Orthopaedics, Tianjin Medical University General Hospital, Heping District, Tianjin 300052, PR China, sqfeng@tmu.edu.cn; ningguangzhi@foxmail.com.
Peng PengDepartment of Orthopaedics, Tianjin Medical University General Hospital, Heping District, Tianjin 300052, PR China, sqfeng@tmu.edu.cn; ningguangzhi@foxmail.com.
Hongyu ShiDepartment of Orthopaedics, Tianjin Medical University General Hospital, Heping District, Tianjin 300052, PR China, sqfeng@tmu.edu.cn; ningguangzhi@foxmail.com.
Han DingDepartment of Orthopaedics, Tianjin Medical University General Hospital, Heping District, Tianjin 300052, PR China, sqfeng@tmu.edu.cn; ningguangzhi@foxmail.com.
Pengyuan ZhengDepartment of Orthopaedics, Tianjin Medical University General Hospital, Heping District, Tianjin 300052, PR China, sqfeng@tmu.edu.cn; ningguangzhi@foxmail.com.
Guangzhi NingDepartment of Orthopaedics, Tianjin Medical University General Hospital, Heping District, Tianjin 300052, PR China, sqfeng@tmu.edu.cn; ningguangzhi@foxmail.com.
Shiqing FengDepartment of Orthopaedics, Tianjin Medical University General Hospital, Heping District, Tianjin 300052, PR China, sqfeng@tmu.edu.cn; ningguangzhi@foxmail.com.
Tianjin Medical University General Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe application of urapidil for treating hypertensive patients with acute heart failure in the emergency department remains controversial. Our objective was to organize the relevant articles and assess the clinical indexes between urapidil and nitroglycerin. MATERIALS AND

methodsPubMed, EMBASE, the Cochrane Library and China National Knowledge Infrastructure were searched for randomized studies that compared urapidil treatment with nitroglycerin treatment for hypertensive patients with acute heart failure. The risk ratio, with 95% CI, was calculated by using a corresponding effects model, according to the value of

resultsSeven randomized controlled trials were identified, in order to compare the clinical indexes. On comparing the clinical indexes, the urapidil group was found to be better than the nitroglycerin group in regard to left ventricular ejection fraction, systolic blood pressure, N-terminal prohormone of brain natriuretic peptide, left ventricular end-diastolic volume, cardiac index, ALT, AST and health complications (

conclusionBased on the current evidence, urapidil treatment had better clinical safety features than the traditional pharmaceutical treatment with nitroglycerin. For those indicators with a small amount of data, a greater number of randomized, high-quality controlled trials should be conducted in order to further verify the findings, which could give researchers a more comprehensive evaluation of urapidil treatment.

Indexed as

Acute DiseaseHeart FailureHumansHypertensionNitroglycerinPiperazinesRandomized Controlled Trials as TopicNitroglycerinPiperazinesurapidilacute heart failuremeta-analysisnitroglycerinurapidil

Identifiers

PMID30643384
PMCPMC6312052
OpenAlexW2905620111

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.