Evidence map›Paper›PMID 34622438›Full record

ArticleCardiology journal2022

Zofenopril: Blood pressure control and cardio-protection.

Claudio Borghi, Giuseppe Ambrosio, Philippe Van De Borne, Giuseppe Mancia

Open access · goldAbstract read
In one paragraph

Article in Cardiology journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 38% 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

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. 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

4 authors at 4 institutions in 2 countries.

Claudio BorghiUnit of Internal Medicine, Policlinico S. Orsola, University of Bologna, Italy. elena.sarugeri@hotmail.it.
Giuseppe AmbrosioDivision of Cardiology, University of Perugia School of Medicine, Perugia, Italy.
Philippe Van De BorneDepartment of Cardiology, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium.
Giuseppe ManciaUniversity of Milano-Bicocca, Milan and Policlinico di Monza, Monza, Italy.
Université Libre de Bruxelles · BEUniversity of Bologna · ITUniversity of Milano-Bicocca · ITUniversity of Perugia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Current hypertension guidelines suggest various strategies to reduce blood pressure levels, thereby reducing cardiovascular events: combinations of drugs with different mechanisms of action, such as an angiotensin converting enzyme inhibitors (ACEIs) and a diuretic, are the cornerstone of the modern treatment of hypertension, also as initial therapy. Among ACEIs, zofenopril has been shown to be effective in the management of hypertension both as monotherapy and in combination with a diuretic: zofenopril/hydrochlorothiazide fixed dose combination is particularly useful to improve treatment adherence through simplification of treatment regimen. Moreover, thanks to the sulfhydryl group, zofenopril has some peculiar properties (higher lipophilicity and tissue penetration, lower bradykinin-dependent effect, higher affinity for, and more persistent binding to, tissue ACE, significant antioxidant effect), which may account for the cardioprotective effects of the drug demonstrated in both pre-clinical studies and randomized clinical trials. The positive impact of zofenopril on clinical outcomes has been extensively documented by the SMILE program, including several clinical trials in patients with different conditions of myocardial ischemia treated with zofenopril: the results of the SMILE program, demonstrating the benefits of zofenopril vs. placebo and other ACEIs, emphasize the importance of a differentiated approach to patients with ischemic heart disease, based on a careful choice of the adopted agent, in order to improve the overall impact of pharmacological treatment on clinical outcomes.

Indexed as

HypertensionMyocardial IschemiaAngiotensin-Converting Enzyme InhibitorsBlood PressureCaptoprilDiureticsHumansAngiotensin-Converting Enzyme InhibitorsCaptoprilDiureticszofenoprilcardioprotectioncoronary artery diseasefixed dose combinationhypertensionnitric oxidesulfhydrylic angiotensin converting enzyme inhibitorsvasodilationzofenopril

Identifiers

PMID34622438
PMCPMC9007490
OpenAlexW3204694719

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.