Evidence map›Paper›PMID 30964905›Full record

Observational studyPloS one2019

Fimasartan reduces clinic and home pulse pressure in elderly hypertensive patients: A K-MetS study.

Eun Joo Cho, Ki Chul Sung, Seok Min Kang, Mi-Seung Shin, Seung Jae Joo, Jeong Bae Park

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in PloS one, 2019. 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
0.8field-weighted citation impact, top 25% 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, 7 citations in OpenAlex.

  1. Article
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  5. Article
  6. Fimasartan: A new armament to fight hypertension.Journal of family medicine and primary care · 2019
    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

6 authors at 6 institutions in 1 country.

Eun Joo ChoDivision of Cardiology, St. Paul's Hospital, Catholic University of Korea, Seoul, Korea.
Ki Chul SungDivision of Cardiology, Kangbuk Samsung Hospital, Sungkyunkwan University, Seoul, Korea.
Seok Min KangDivision of Cardiology, Severance Cardiovascular Hospital, Yonsei University, Seoul, Korea.
Mi-Seung ShinDivision of Cardiology, Gachon University Gil Medical Center, Incheon, Korea.
Seung Jae JooDivision of Cardiology, Jeju National University Hospital, Jeju, Korea.
Jeong Bae ParkJB lab and clinic, Seoul, Korea.ORCID 0000-0002-5623-7010
Gachon University Gil Medical Center · KRJeju National University Hospital · KRKangbuk Samsung Hospital · KRSt. Paul's Hospital · KRSungkyunkwan University · KRYonsei University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAngiotensin II receptor blockers (ARBs) are recommended for treating patients with hypertension. However, comparative safety and efficacy of ARB use in elderly patients have not been well established. This study was designed to determine the efficacy of fimasartan, an ARB, in hypertensive elderly patients by measuring clinic and home blood pressures (BPs) and evaluating safety compared to nonelderly patients.

methodIn the K-MetS study, a nationwide prospective observational study of hypertensive patients on fimasartan, elderly patients (60 years and older) who were treated for 1 year with fimasartan were recruited. BP was evaluated in clinic and at home.

resultsOf the 6 399 enrolled patients, 2 363 were elderly (46.9% males, mean age 67.3 ± 5.7 years). Fimasartan reduced systolic and diastolic BP (SBP and DBP) in clinic from 144.1 ± 17.3 to 127.7 ± 12.9 mmHg and from 85.1 ± 10.4 to 76.8 ± 8.4 mmHg, respectively, (all p<0.0001) in 1 year. Similar results were found in home BPs. These BP changes were consistent with those in nonelderly patients. However, pulse pressure, a better predictor of cardiovascular events in the elderly, decreased more in elderly than in nonelderly patients by -8.2 ± 0.3 in elderly and -7.0 ± 0.2 mmHg (p<0.0001), respectively, after adjustment for confounding factors. Adverse events were reported in 1.6% of elderly hypertensives, independent of dose, which was consistent with results in nonelderly patients.

conclusionsFimasartan resulted in better pulse pressure reduction with similar BP reduction efficacy and safety in hypertensive elderly patients compared with nonelderly patients.

Indexed as

Blood PressureAgedBiphenyl CompoundsBlood Pressure Monitoring, AmbulatoryFemaleFollow-Up StudiesHumansHypertensionMaleMiddle AgedPyrimidinesTetrazolesBiphenyl CompoundsfimasartanPyrimidinesTetrazoles

Identifiers

PMID30964905
PMCPMC6456168
OpenAlexW2937761988

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.