Evidence map›Paper›PMID 33103603›Full record

Trial reportJournal of the American Heart Association2020

High-Dose Glucagon Has Hemodynamic Effects Regardless of Cardiac Beta-Adrenoceptor Blockade: A Randomized Clinical Trial.

Kasper M Petersen, Søren Bøgevig, Troels Riis, Niklas W Andersson, Kim P Dalhoff, Jens J Holst, Filip K Knop, Jens Faber, Tonny S Petersen, Mikkel B Christensen

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Review
  7. Incretin and glucagon receptor polypharmacology in chronic kidney disease.American journal of physiology. Endocrinology and metabolism · 2024
    Review
  8. Comment on "Cardiovascular and Adverse Effects of Glucagon for the Management of Suspected Beta Blocker Toxicity: a Case Series".Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2023
    Article
  9. Article
  10. Does Glucagon Really Work for Beta Blocker Overdose?Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2023
    Article
  11. Cardiovascular and Adverse Effects of Glucagon for the Management of Suspected Beta Blocker Toxicity: a Case Series.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2023
    Article
  12. 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

10 authors.

Kasper M PetersenDepartment of Clinical Pharmacology Bispebjerg Hospital University of Copenhagen Copenhagen Denmark.
Søren BøgevigDepartment of Clinical Pharmacology Bispebjerg Hospital University of Copenhagen Copenhagen Denmark.
Troels RiisDepartment of Clinical Pharmacology Bispebjerg Hospital University of Copenhagen Copenhagen Denmark.
Niklas W AnderssonDepartment of Clinical Pharmacology Bispebjerg Hospital University of Copenhagen Copenhagen Denmark.
Kim P DalhoffDepartment of Clinical Pharmacology Bispebjerg Hospital University of Copenhagen Copenhagen Denmark.
Jens J HolstNovo Nordisk Foundation Center for Basic Metabolic Research Faculty of Health and Medical Sciences University of Copenhagen Copenhagen Denmark.
Filip K KnopNovo Nordisk Foundation Center for Basic Metabolic Research Faculty of Health and Medical Sciences University of Copenhagen Copenhagen Denmark.
Jens FaberDepartment of Medicine Herlev HospitalUniversity of Copenhagen Copenhagen Denmark.
Tonny S PetersenDepartment of Clinical Pharmacology Bispebjerg Hospital University of Copenhagen Copenhagen Denmark.
Mikkel B ChristensenDepartment of Clinical Pharmacology Bispebjerg Hospital University of Copenhagen Copenhagen Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Intravenous high-dose glucagon is a recommended antidote against beta-blocker poisonings, but clinical effects are unclear. We therefore investigated hemodynamic effects and safety of high-dose glucagon with and without concomitant beta-blockade. Methods and Results In a randomized crossover study, 10 healthy men received combinations of esmolol (1.25 mg/kg bolus+0.75 mg/kg/min infusion), glucagon (50 µg/kg), and identical volumes of saline placebo on 5 separate days in random order (saline+saline; esmolol+saline; esmolol+glucagon bolus; saline+glucagon infusion; saline+glucagon bolus). On individual days, esmolol/saline was infused from -15 to 30 minutes. Glucagon/saline was administered from 0 minutes as a 2-minute intravenous bolus or as a 30-minute infusion (same total glucagon dose). End points were hemodynamic and adverse effects of glucagon compared with saline. Compared with saline, glucagon bolus increased mean heart rate by 13.0 beats per minute (95% CI, 8.0-18.0;

Indexed as

Adrenergic beta-1 Receptor AntagonistsAdultCross-Over StudiesDenmarkGlucagonHemodynamicsHormonesHumansInfusions, IntravenousInjections, IntravenousMalePropanolaminesSingle-Blind MethodYoung AdultAdrenergic beta-1 Receptor AntagonistsesmololGlucagonHormonesPropanolaminesbeta blockerglucagonhemodynamicstoxicology

Identifiers

PMID33103603
PMCPMC7763418

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.