Evidence map›Paper›PMID 32772186›Full record

ReviewCurrent cardiology reports2020

Does Timing of Antihypertensive Medication Dosing Matter?

Ramón C Hermida, Ramón G Hermida-Ayala, Michael H Smolensky, Artemio Mojón, Juan J Crespo, Alfonso Otero, María T Ríos, Manuel Domínguez-Sardiña, José R Fernández

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current cardiology reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Time and Conditioning.Conditioning medicine · 2021
    Article
  5. Review
  6. Article
  7. Review
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

9 authors.

Ramón C HermidaBioengineering & Chronobiology Laboratories, Atlantic Research Center for Information and Communication Technologies (atlanTTic);, University of Vigo, 36310, Vigo, Spain. rhermida@uvigo.es.ORCID 0000-0002-8853-5901
Ramón G Hermida-AyalaCircadian Ambulatory Technology & Diagnostics (CAT&D), 15703, Santiago de Compostela, Spain.
Michael H SmolenskyDepartment of Biomedical Engineering, Cockrell School of Engineering,, The University of Texas at Austin, Austin, TX, 78712-0238, USA.
Artemio MojónBioengineering & Chronobiology Laboratories, Atlantic Research Center for Information and Communication Technologies (atlanTTic);, University of Vigo, 36310, Vigo, Spain.
Juan J CrespoBioengineering & Chronobiology Laboratories, Atlantic Research Center for Information and Communication Technologies (atlanTTic);, University of Vigo, 36310, Vigo, Spain.
Alfonso OteroServicio de Nefrología, Complejo Hospitalario Universitario de Ourense, Estructura de Xestión Integrada de Ourense, Verín e O Barco de Valdeorras, Servicio Galego de Saúde (SERGAS), 32005, Ourense, Spain.
María T RíosBioengineering & Chronobiology Laboratories, Atlantic Research Center for Information and Communication Technologies (atlanTTic);, University of Vigo, 36310, Vigo, Spain.
Manuel Domínguez-SardiñaEstructura de Xestión Integrada de Vigo, Servicio Galego de Saúde (SERGAS), 36214, Vigo, Spain.
José R FernándezBioengineering & Chronobiology Laboratories, Atlantic Research Center for Information and Communication Technologies (atlanTTic);, University of Vigo, 36310, Vigo, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewCurrent hypertension guidelines do not provide recommendation on when-to-treat. Herein, we review the current evidence on ingestion-time differences of hypertension medications in blood pressure (BP)-lowering effects and prevention of cardiovascular disease (CVD) events. RECENT

findingsThe vast (81.6%) majority of the 136 published short-term treatment-time trials document benefits, including enhanced reduction of asleep BP and increased sleep-time relative BP decline (dipping), when hypertension medications and their combinations are ingested before sleep rather than upon waking. Long-term outcome trials further document bedtime hypertension therapy markedly reduces risk of major CVD events. The inability of the very small 18.4% of the published trials to substantiate treatment-time difference in effects is mostly explained by deficiencies of study design and conduct. Our comprehensive review of the published literature reveals no single study has reported better benefits of the still conventional, yet scientifically unjustified, morning than bedtime hypertension treatment scheme.

Indexed as

Antihypertensive AgentsHypertensionBlood PressureBlood Pressure Monitoring, AmbulatoryCircadian RhythmDrug Administration ScheduleHumansAntihypertensive AgentsAmbulatory blood pressure monitoringAsleep blood pressureBedtime hypertension chronotherapyCardiovascular risk reductionDiagnosis of hypertensionHygia Chronotherapy Trial

Identifiers

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.