Evidence map›Paper›PMID 32641381›Full record

Observational studyOpen heart2020

Impact of beta blockers on patients undergoing transcatheter aortic valve replacement: the OCEAN-TAVI registry.

Tetsuya Saito, Nobuhiro Yoshijima, Hiromu Hase, Fumiaki Yashima, Hikaru Tsuruta, Hideyuki Shimizu, Keiichi Fukuda, Toru Naganuma, Kazuki Mizutani, Motoharu Araki and 10 more

Registry-linked trialOpen access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Open heart, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05721170 (Impact of Beta-blockers Among Patients Undergoing TAVI), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.8field-weighted citation impact, top 13% 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.

NCT05721170 phase4recruitingnot on this mapstarted 2024, after this paper: background citation

Impact of Beta-blockers Among Patients Undergoing TAVI: a Randomized Multicenter Trial

TypeinterventionalSponsorNational and Kapodistrian University of AthensRan2024 to 2028Enrolled347ConditionsAortic Valve StenosisArmsBeta blocker
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 25 citations in OpenAlex.

  1. Review
  2. Article
  3. Observational
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. 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

20 authors at 12 institutions in 1 country.

Tetsuya SaitoCardiology, Keio University School of Medicine, Shinjuku-ku, Tokyo, Japan.ORCID 0000-0001-5356-9477
Nobuhiro YoshijimaCardiology, Keio University School of Medicine, Shinjuku-ku, Tokyo, Japan.
Hiromu HaseCardiology, Keio University School of Medicine, Shinjuku-ku, Tokyo, Japan.
Fumiaki YashimaCardiology, Saiseikai Utsunomiya Hospital, Utsunomiya, Tochigi, Japan.ORCID 0000-0002-7755-5771
Hikaru TsurutaCardiology, Keio University School of Medicine, Shinjuku-ku, Tokyo, Japan.
Hideyuki ShimizuCardiovascular Surgery, Keio University School of Medicine, Shinjuku-ku, Tokyo, Japan.
Keiichi FukudaCardiology, Keio University School of Medicine, Shinjuku-ku, Tokyo, Japan.
Toru NaganumaCardiology, New Tokyo Hospital, Matsudo, Chiba, Japan.
Kazuki MizutaniCardiovascular Medicine, Osaka City General Hospital, Osaka, Osaka, Japan.
Motoharu ArakiCardiology, Saiseikai Yokohama-City Eastern Hospital, Yokohama, Kanagawa, Japan.
Norio TadaCardiology, Sendai Kosei Hospital, Sendai, Miyagi, Japan.
Futoshi YamanakaCardiology, Shonan Kamakura General Hospital, Kamakura, Kanagawa, Japan.
Shinichi ShiraiCardiology, Kokura Memorial Hospital, Kitakyushu, Fukuoka, Japan.
Minoru TabataCardiovascular Surgery, Tokyo Bay Urayasu Ichikawa Iryo Center, Urayasu, Chiba, Japan.
Hiroshi UenoCardiology, Toyama University School of Medicine, Toyama, Toyama, Japan.
Kensuke TakagiCardiology, Ogaki Municipal Hospital, Ogaki, Gifu, Japan.
Akihiro HigashimoriCardiology, Kishiwada Tokushukai Hospital, Kishiwada, Osaka, Japan.
Yusuke WatanabeCardiology, Teikyo University School of Medicine, Itabashi-ku, Tokyo, Japan.
Masanori YamamotoCardiology, Toyohashi Heart Center, Toyohashi, Aichi, Japan.ORCID 0000-0001-5210-6382
Kentaro HayashidaCardiology, Keio University School of Medicine, Shinjuku-ku, Tokyo, Japan k-hayashida@umin.ac.jp.
Keio University · JPKishiwada Tokushukai Hospital · JPKokura Memorial Hospital · JPNew Tokyo Hospital · JPOgaki Municipal Hospital · JPOsaka City General Hospital · JPSaiseikai Utsunomiya hospital · JPSaiseikai Yokohama Eastern Hospital · JPShonan Kamakura General Hospital · JPTeikyo University · JPToyohashi Heart Center · JPUniversity of Toyama · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThere is paucity of data on optimal medical treatment, including use of beta blockers for patients undergoing transcatheter aortic valve replacement (TAVR). The study aimed to investigate the association of beta blockers and clinical outcomes following TAVR.

methodsWe examined data of 2563 patients who underwent TAVR between October 2013 and May 2017 obtained from a prospective multicentre cohort registry, the optimised catheter valvular intervention-TAVI registry. We compared the 2-year cardiovascular and non-cardiovascular mortality and in-hospital outcomes between patients with and without preprocedural beta-blocker administration by propensity score matching (PSM).

resultsPreprocedural beta blockers were prescribed in 867 patients (33.8%). After PSM, the incidence of in-hospital congestive heart failure was significantly lower in patients with preprocedural beta blocker (p=0.046). No differences were found in 2-year cardiovascular and non-cardiovascular mortality. In the subgroup analyses, beta-blocker administration was associated with a lower cardiovascular mortality within 2 years in patients with a history of coronary artery bypass grafting (CABG; log-rank p=0.017), presence of peripheral artery disease (PAD; log-rank p=0.003) and brain natriuretic peptide (BNP) ≥400 pg/mL (log-rank p=0.003). When stratified by postprocedural left ventricular ejection fraction (post-LVEF), beta-blocker administration was associated with a lower cardiovascular mortality among patients with post-LVEF <50% (log-rank p=0.024).

conclusionsPreprocedural beta-blocker administration was not associated with 2-year cardiovascular and non-cardiovascular mortality in overall, but was associated with a lower 2-year cardiovascular mortality in patients with a history of CABG, presence of PAD, BNP ≥400 pg/mL and post-LVEF <50%. The findings must be validated using randomised trials.

Indexed as

Transcatheter Aortic Valve ReplacementAdrenergic beta-AntagonistsAged, 80 and overAortic Valve StenosisFemaleHeart FailureHumansMaleRegistriesRetrospective StudiesRisk AssessmentRisk FactorsStroke VolumeTime FactorsTreatment OutcomeVentricular Function, LeftAdrenergic beta-Antagonistsaortic valve diseasebeta blockerspercutaneous valve therapy

Identifiers

PMID32641381
PMCPMC7342827
OpenAlexW3039479612

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.