Evidence map›Paper›PMID 31000180›Full record

Trial reportIndian heart journal

Amlodipine alters hemorheological parameters: Increased efficacy at the cost of edema?

R P Ravindra, S Arunkumar, R R Puniyani, K Padgaonkar, Ramalingam Vadivelu, Rajeev Sharma, Gopi Panicker, Yash Lokhandwala

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Indian heart journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 76% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
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

8 authors at 4 institutions in 1 country.

R P RavindraSchool of Biosciences and Bioengineering, Indian Institute of Technology, Bombay, Powai, Mumbai 400076, India.
S ArunkumarSchool of Biosciences and Bioengineering, Indian Institute of Technology, Bombay, Powai, Mumbai 400076, India.
R R PuniyaniSchool of Biosciences and Bioengineering, Indian Institute of Technology, Bombay, Powai, Mumbai 400076, India.
K PadgaonkarFrom Drug Monitoring Research Institute, 125-A, Sion, Mumbai 400022, India.
Ramalingam VadiveluDepartment of Cardiology, Holy Family Hospital, Bandra West, Mumbai 400050, India. Electronic address: vvelu00@gmail.com.
Rajeev SharmaDepartment of Cardiology, Holy Family Hospital, Bandra West, Mumbai 400050, India.
Gopi PanickerIQVIA, 602, Natraj By Rustomjee, Andheri (E), Mumbai 400069, India.
Yash LokhandwalaDepartment of Cardiology, LTMG Hospital, Sion, Mumbai 400022, India.
Indian Institute of Technology Bombay · INHoly Family Hospital · INIQVIA (India) · INLokmanya Tilak Municipal General Hospital and Lokmanya Tilak Municipal Medical College · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite several decades of use of calcium channel blockers, the side effect of edema persists as a class effect, and its mechanism is unresolved. Amlodipine has effects on hemorheology (HR), and its hemodilutory property may partly contribute to its antihypertensive action. This aspect is not well studied, and the literature is sparse in this regard.

objectiveThis experiment was planned to determine effect of a single-dose administration of amlodipine on HR parameters in normal human volunteers. METHODS AND

resultsAmlodipine (5 mg) or S (-) amlodipine (2.5 mg) was administered to 27 normal human volunteers. Whole-blood viscosity (WBV) at different shear rates, plasma viscosity (PV), red cell rigidity (RCR), red cell aggregation (RCA), hematocrit (Hct), plasma hemoglobin, along with plasma drug concentration were determined at time intervals, t = 0, 4, 8, 12, and 24 h. Statistically significant reductions were observed at t

conclusionsAmlodipine causes a reduction in Hct and blood viscosity, along with hemodilution. These effects persist as long as the drug remains in plasma. Edema resulting from chronic dosing may be explained by the aforementioned effects. It is possible that antihypertensive action of the drug may be due to a combination of vasodilatation and an improvement in the HR properties.

Indexed as

AmlodipineBlood ViscosityCalcium Channel BlockersDose-Response Relationship, DrugEdemaErythrocyte AggregationHealthy VolunteersHematocritHumansHypertensionMaleSingle-Blind MethodTreatment OutcomeYoung AdultAmlodipineCalcium Channel BlockersBlood viscosityCalcium blockersData analyticsHypertension

Identifiers

PMID31000180
PMCPMC6477139
OpenAlexW2902077618

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.