Evidence map›Paper›PMID 31345083›Full record

ArticleJournal of the American Heart Association2019

Safety of Amlodipine in Early Pregnancy.

Asako Mito, Atsuko Murashima, Yoshinao Wada, Mai Miyasato-Isoda, Chizuko A Kamiya, Masako Waguri, Jun Yoshimatsu, Naho Yakuwa, Omi Watanabe, Tomo Suzuki and 3 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
6.2field-weighted citation impact, top 4% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. The Japanese Society of Hypertension Guidelines for the management of elevated blood pressure and hypertension 2025 (JSH2025).Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Guideline
  2. Pooled it
  3. Review
  4. Article
  5. Kidney disease and reproductive health.Nature reviews. Nephrology · 2025
    Review
  6. Review
  7. Trends in prescribing nifedipine and amlodipine to pregnant women after related contraindications were lifted in Japan.Hypertension research : official journal of the Japanese Society of Hypertension · 2024
    Article
  8. Article
  9. Hypertensive disorders of pregnancy: definition, management, and out-of-office blood pressure measurement.Hypertension research : official journal of the Japanese Society of Hypertension · 2022
    Review
  10. Article
  11. Article
  12. Neurocritical Care of the Pregnant Patient.Current treatment options in neurology · 2021
    Review
  13. Article
  14. Safety of Amlodipine in Early Pregnancy.Journal of the American Heart Association · 2019
    Article
  15. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 2 countries.

Asako MitoDrug Information Institute in Pregnancy Tokyo Japan.
Atsuko MurashimaDrug Information Institute in Pregnancy Tokyo Japan.
Yoshinao WadaDepartment of Obstetric Medicine Osaka Women's and Children's Hospital Osaka Japan.
Mai Miyasato-IsodaDepartment of Internal Medicine (I) Osaka Medical College Osaka Japan.
Chizuko A KamiyaDepartment of Perinatology and Gynecology National Cerebral and Cardiovascular Center Osaka Japan.
Masako WaguriDepartment of Obstetric Medicine Osaka Women's and Children's Hospital Osaka Japan.
Jun YoshimatsuDepartment of Perinatology and Gynecology National Cerebral and Cardiovascular Center Osaka Japan.
Naho YakuwaDrug Information Institute in Pregnancy Tokyo Japan.
Omi WatanabeDrug Information Institute in Pregnancy Tokyo Japan.
Tomo SuzukiDrug Information Institute in Pregnancy Tokyo Japan.
Naoko ArataDrug Information Institute in Pregnancy Tokyo Japan.
Masashi MikamiDivision of Biostatistics Clinical Research Center National Center for Child Health and Development Tokyo Japan.
Shinya ItoMotherisk Program Division of Clinical Pharmacology and Toxicology Department of Paediatrics The Hospital for Sick Children University of Toronto Toronto Canada.
National Center For Child Health and Development · JPNational Cerebral and Cardiovascular Center · JPOsaka Women's and Children's Hospital · JPOsaka Medical and Pharmaceutical University · JPSakurabashi Watanabe Hospital · JPSickKids Foundation · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Amlodipine is used for the treatment of hypertension, but reports on its use in early pregnancy are limited. Methods and Results In the present study, we recruited 231 women with chronic hypertension, including those who received amlodipine or other antihypertensives during early pregnancy, and investigated frequencies of morphologic abnormalities in their 231 offspring. Specifically, we evaluated 48 neonates exposed to amlodipine in the first trimester (amlodipine group, Group A), 54 neonates exposed to antihypertensives other than amlodipine (other antihypertensive group, Group O), and 129 neonates not exposed to antihypertensives (no-antihypertensive group, Group N). The number of morphologic abnormalities of offspring in each group were 2 in Group A (4.2%; 95% CI, 0.51-14.25); 3 in Group O (5.6%; 95% CI, 1.16-15.39) and 6 in Group N (4.7%; 95% CI, 1.73-9.85). The odds ratio of the primary outcome comparing Group A and Group O was 0.74 (95% CI: 0.118-4.621) and Group A and Group N was 0.89 (95% CI: 0.174-4.575). Conclusions The odds of birth defects in Group A in the first trimester were not significantly different from those with or without other antihypertensives.

Indexed as

Abnormalities, Drug-InducedAgedAmlodipineAntihypertensive AgentsChronic DiseaseFemaleFollow-Up StudiesHumansHypertensionInfant, NewbornMaleMiddle AgedPregnancyPregnancy Complications, CardiovascularPregnancy Trimester, FirstProspective StudiesAmlodipineAntihypertensive Agentsamlodipinechronic hypertensionfirst trimesterpregnancy

Identifiers

PMID31345083
PMCPMC6761676
OpenAlexW2966597188

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.