Evidence map›Paper›PMID 32382156›Full record

ReviewHypertension research : official journal of the Japanese Society of Hypertension2020

Beta blocker rebound phenomenon is important, but we do not know its definition, incidence or optimal prevention strategies.

Goran Koracevic, Sladjana Micic, Milovan Stojanovic, Miloje Tomasevic, Tomislav Kostic, Radmila Velickovic Radovanovic, Dragan Lovic, Dragan Djordjevic, Miomir Randjelovic, Maja Koracevic and 1 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Hypertension research : official journal of the Japanese Society of Hypertension, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.6field-weighted citation impact, top 14% 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

10 citing papers in PubMed, 24 citations in OpenAlex.

  1. Trial
  2. Article
  3. Journal of vascular surgery cases and innovative techniques · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. The Health Costs of Cost Sharing.The quarterly journal of economics · 2024
    Article
  8. Clinical Review of Hypertensive Acute Heart Failure.Medicina (Kaunas, Lithuania) · 2024
    Review
  9. Article
  10. Beta-blocker Rebound Phenomenon in an Adolescent with Graves’ DiseaseJournal of clinical research in pediatric endocrinology · 2022
    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

11 authors at 2 institutions in 1 country.

Goran KoracevicDepartment for Cardiovascular Diseases, Clinical Center Nis, Nis, Serbia.
Sladjana MicicFaculty of Medicine, University of Nis, Nis, Serbia.
Milovan StojanovicInstitute for Treatment and Rehabilitation Niska Banja, Nis, Serbia. milovanstojanovic1987@gmail.com.
Miloje TomasevicClinic for Cardiology, Clinical Center of Serbia, Belgrade, Serbia.
Tomislav KosticDepartment for Cardiovascular Diseases, Clinical Center Nis, Nis, Serbia.
Radmila Velickovic RadovanovicFaculty of Medicine, University of Nis, Nis, Serbia.
Dragan LovicClinic for Internal Diseases Intermedica, Nis, Serbia.
Dragan DjordjevicFaculty of Medicine, University of Nis, Nis, Serbia.
Miomir RandjelovicDepartment for Cardiovascular Diseases, Clinical Center Nis, Nis, Serbia.
Maja KoracevicFaculty of Medicine, University of Nis, Nis, Serbia.
Zaklina RisticCommunity Health Centre Dr Sava Stanojevic, Trstenik, Serbia.
University of Nis · RSUniversity of Kragujevac · RS

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this review is to analyze whether there is a need for scientific information about the beta blocker (BB) rebound phenomenon; whether such information is available; and, if it is, how detailed is the BB rebound phenomenon explained in the guidelines and papers? A narrative review is used due to the lack of valid randomized clinical trials (RCTs) on the topic, which are needed for a meta-analysis. The BB rebound phenomenon can have dangerous consequences. The discontinuation of a BB leads to a fourfold increased risk of events related to coronary artery disease in hypertensive patients; it increases in-hospital mortality in heart failure patients; it can precipitate angina pectoris attack; and it increases the risk for death and rehospitalization in patients who survive acute myocardial infarction. Consequently, being considered in the guidelines, the BB rebound phenomenon is believed to be clinically relevant (by experts in the field). This is in sharp contrast with the lack of any additional relevant information about the BB rebound phenomenon in the various important guidelines. For example, we lack a consensus about the precise definition. Moreover, data about the incidence and optimal prevention strategies are lacking for the phenomenon (which is sometimes life-threatening). The BB rebound phenomenon is an additional reason why it is very important to test the prognosis of patients following the cessation of long-term medicaments in RCTs, particularly for BBs.

Indexed as

Adrenergic beta-AntagonistsHumansHypertensionAdrenergic beta-AntagonistsArterial hypertensionBeta blockerHeart failureIschemic heart diseaseRebound phenomenon

Identifiers

PMID32382156
OpenAlexW3021202345

What OpenQuestion holds

Textmetadata
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.