Evidence map›Paper›PMID 32303254›Full record

SynthesisSubstance abuse treatment, prevention, and policy2020

The effects of opium on the cardiovascular system: a review of side effects, uses, and potential mechanisms.

Samaneh Nakhaee, Saeedeh Ghasemi, Kimiya Karimzadeh, Nasim Zamani, Samaneh Alinejad-Mofrad, Omid Mehrpour

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Substance abuse treatment, prevention, and policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 6% 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

32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 66 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Persistent Opioid Use Following Major Orthopedic Surgery.Current pain and headache reports · 2025
    Review
  8. Article
  9. Review
  10. Article
  11. Sonographic features of internal carotid artery in patients with opioid use disorder: Is opium a new risk factor for atherosclerosis of internal carotid artery?Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. Ceftriaxone and MC-100093 mitigate fentanyl-induced cardiac injury in mice: Preclinical investigation of its underlying molecular mechanisms.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2024
    Article
  16. Review
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  18. Article
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  20. 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

6 authors at 3 institutions in 2 countries.

Samaneh NakhaeeMedical Toxicology and Drug Abuse Research Center (MTDRC), Birjand University of Medical Sciences, Birjand, Iran.
Saeedeh GhasemiStudent Research Committee, Birjand University of Medical Sciences, Birjand, Iran.
Kimiya KarimzadehStudent Research Committee, Birjand University of Medical Sciences, Birjand, Iran.
Nasim ZamaniDepartment of Clinical Toxicology, Loghman-Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Samaneh Alinejad-MofradFaculty of nursing and midwifery, Birjand University of Medical Sciences, Birjand, Iran.
Omid MehrpourMedical Toxicology and Drug Abuse Research Center (MTDRC), Birjand University of Medical Sciences, Birjand, Iran. omid.mehrpour@yahoo.com.au.
Birjand University of Medical Sciences · IRShahid Beheshti University of Medical Sciences · IRUniversity of Colorado Denver · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Iran, as in many other Asian and Middle Eastern countries, some believe that opium has beneficial effects on cardiovascular system. Dependent patients suppose that opium has positive effects on cardiovascular function and can prevent or improve cardiovascular diseases; however, only few comprehensive studies evaluating such effects have been performed.

objectivesIn this study, we sought to clarify the effect of opium on cardiovascular problems by incorporating the previous findings and the current information on the issue and to explain the possible mechanisms of this effect.

methodsThe available human studies published up to October 30, 2019, were searched in different databases. Case-control, cohort, and cross-sectional studies were retrieved. Papers published in English or those with an English abstract were included. The risk of bias for each included study was assessed based on the Newcastle-Ottawa Scale (NOS). We then categorized the effects of opium on cardiovascular problems along with its probable underlying mechanisms of action.

resultsIn this study, most of the published articles suggested the adverse effects of opium on the cardiovascular system, including atherosclerosis, myocardial infarction, arrhythmia, low ejection fraction, and cardiovascular mortality; however, some articles reported the beneficial or impartial effects of opium on the cardiovascular system. In this article, we have categorized all the effects of opium on cardiovascular system; also, the proposed mechanisms of action of opium in each of the above-mentioned disorders are summarized.

conclusionAlthough the available evidences were incoherent, it was mostly suggested that opium use does not protect against or improve cardiovascular problems.

Indexed as

Cardiovascular SystemCross-Sectional StudiesFemaleHumansIranMaleOpioid-Related DisordersOpiumRisk FactorsOpiumCardiovascular diseasesCoronary artery diseaseOpium

Identifiers

PMID32303254
PMCPMC7164148
OpenAlexW3016413617

What OpenQuestion holds

Textmetadata
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.