Evidence map›Paper›PMID 30673020›Full record

Trial reportArquivos brasileiros de cardiologia2019

Diuretics are Similar to Losartan on Echocardiographic Target-Organ Damage in Stage I Hypertension. PREVER-Treatment Study.

Carolina Bertoluci, Murilo Foppa, Angela Barreto Santiago Santos, Sandra C Fuchs, Flávio Danni Fuchs

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Arquivos brasileiros de cardiologia, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Review
  2. 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

5 authors.

Carolina BertoluciServiço de Cardiologia - Hospital de Clínicas de Porto Alegre, Porto Alegre, RS - Brazil.ORCID 0000-0003-4920-3987
Murilo FoppaServiço de Cardiologia - Hospital de Clínicas de Porto Alegre, Porto Alegre, RS - Brazil.
Angela Barreto Santiago SantosServiço de Cardiologia - Hospital de Clínicas de Porto Alegre, Porto Alegre, RS - Brazil.
Sandra C FuchsPrograma de Pós-graduação em Cardiologia da Faculdade de Medicina da Universidade Federal do Rio Grande do Sul, Porto Alegre, RS - Brazil.
Flávio Danni FuchsServiço de Cardiologia - Hospital de Clínicas de Porto Alegre, Porto Alegre, RS - Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Blood pressure (BP)-lowering therapy improves left ventricular (LV) parameters of hypertensive target-organ damage in stage II hypertension, but whether there is a drug-class difference in echocardiographic parameters in stage I hypertension patients is less often studied. In the PREVER treatment study, where individuals with stage I hypertension were randomized for treatment with diuretics (chlorthalidone/amiloride) or losartan, 110 participants accepted to participate in a sub-study, where two-dimensional echocardiograms were performed at baseline and after 18 months of antihypertensive treatment. As in the general study, systolic BP reduction was similar with diuretics or with losartan. Echocardiographic parameters showed small but significant changes in both treatment groups, with a favorable LV remodeling with antihypertensive treatment for 18 months when target blood pressure was achieved either with chlorthalidone/amiloride or with losartan as the initial treatment strategy. In conclusion, even in stage I hypertension, blood pressure reduction is associated with improvement in echocardiographic parameters, either with diuretics or losartan as first-drug regimens.

Indexed as

AdultAgedAmilorideAntihypertensive AgentsBlood PressureDiureticsDouble-Blind MethodEchocardiographyFemaleFollow-Up StudiesHumansHypertensionLosartanMaleMiddle AgedTime FactorsAmilorideAntihypertensive AgentsDiureticsLosartan

Identifiers

PMID30673020
PMCPMC6317616

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