Evidence map›Paper›PMID 33432839›Full record

Trial reportJournal of the American Heart Association2021

Pharmacotherapy in the Management of Anxiety and Pain During Acute Coronary Syndromes and the Risk of Developing Symptoms of Posttraumatic Stress Disorder.

Roland von Känel, Jean-Paul Schmid, Rebecca E Meister-Langraf, Jürgen Barth, Hansjörg Znoj, Ulrich Schnyder, Mary Princip, Aju P Pazhenkottil

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.2field-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.

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

5 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Review
  5. 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

8 authors at 3 institutions in 1 country.

Roland von KänelDepartment of Consultation-Liaison Psychiatry and Psychosomatic Medicine University Hospital ZurichUniversity of Zurich Switzerland.
Jean-Paul SchmidDepartment of Cardiology Clinic Barmelweid Barmelweid Switzerland.
Rebecca E Meister-LangrafDepartment of Consultation-Liaison Psychiatry and Psychosomatic Medicine University Hospital ZurichUniversity of Zurich Switzerland.
Jürgen BarthComplementary and Integrative Medicine University Hospital ZurichUniversity of Zurich Switzerland.
Hansjörg ZnojDepartment of Health Psychology and Behavioral Medicine University of Bern Switzerland.
Ulrich SchnyderUniversity of Zurich Switzerland.
Mary PrincipDepartment of Consultation-Liaison Psychiatry and Psychosomatic Medicine University Hospital ZurichUniversity of Zurich Switzerland.
Aju P PazhenkottilDepartment of Consultation-Liaison Psychiatry and Psychosomatic Medicine University Hospital ZurichUniversity of Zurich Switzerland.
University of Zurich · CHKlinik Barmelweid · CHUniversity of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Benzodiazepines and morphine are given during acute coronary syndromes (ACSs) to alleviate anxiety and pain, and β-blockers may also reduce pain. ACS may induce posttraumatic stress disorder (PTSD) symptoms (PTSS). When taken during trauma other than ACS, benzodiazepines increase the risk of PTSS, but it is unknown if benzodiazepines increase the risk of PTSS in ACS. We examined the effects of drug exposure during ACS on the development of PTSS. Methods and Results Study participants were 154 patients with a verified ACS. Baseline demographics, clinical variables, and psychological measures were obtained through a medical history, through a psychometric assessment, and from patient records, and used as covariates in linear regression analysis. Three months after ACS, the severity of PTSS was assessed with the Clinician-Administered PTSD Scale. During ACS, 37.7% of patients were exposed to benzodiazepines, whereas 72.1% were exposed to morphine and 88.3% were exposed to β-blockers, but only 7.1% were exposed to antidepressants. Eighteen (11.7%) patients developed clinical PTSD. Adjusting for all covariates, benzodiazepine use was significantly associated with the Clinician-Administered PTSD Scale total severity score (unstandardized coefficient B [SE], 0.589 [0.274]; partial

Indexed as

Acute Coronary SyndromeBenzodiazepinesStress Disorders, Post-TraumaticAdrenergic beta-AntagonistsAnalgesics, OpioidCorrelation of DataFemaleHumansMaleMiddle AgedMorphineOutcome Assessment, Health CarePain ManagementPsychiatric Status Rating ScalesRisk AssessmentRisk FactorsAdrenergic beta-AntagonistsAnalgesics, OpioidBenzodiazepinesMorphinecardiovascular diseasepharmacotherapyposttraumatic stress disorderpsychological stressrisk factor

Identifiers

PMID33432839
PMCPMC7955310
OpenAlexW3118929472

What OpenQuestion holds

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Registered trials

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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.