Evidence map›Paper›PMID 36196467›Full record

ReviewJournal of clinical hypertension (Greenwich, Conn.)2022

Role of α1-blockers in the current management of hypertension.

Hua Li, Ting-Yan Xu, Yan Li, Yook-Chin Chia, Peera Buranakitjaroen, Hao-Min Cheng, Minh Van Huynh, Guru Prasad Sogunuru, Jam Chin Tay, Tzung-Dau Wang and 2 more

Open access · diamondAbstract readReview
In one paragraph

Review in Journal of clinical hypertension (Greenwich, Conn.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
4.0field-weighted citation impact, top 5% 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

17 citing papers in PubMed, 30 citations in OpenAlex.

  1. Review
  2. Doxazosin GITS (gastrointestinal therapeutic system) is an actor to consider in the control of hypertension. A narrative review.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Review
  3. Catecholaminergic storm and extreme blood pressure lability induced by combined levodopa/benserazide, selegiline, and piribedil in Parkinson's disease: a case report.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
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  14. Pharmaceuticals (Basel, Switzerland) · 2023
    Article
  15. Trends in exercise for hypertension: a bibliometric analysis.Frontiers in cardiovascular medicine · 2023
    Review
  16. Novel Arylpiperazine Derivatives of Salicylamide with αInternational journal of molecular sciences · 2022
    Article
  17. Role of α1-blockers in the current management of hypertension.Journal of clinical hypertension (Greenwich, Conn.) · 2022
    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

12 authors at 9 institutions in 9 countries.

Hua LiThe Shanghai Institute of Hypertension, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Ting-Yan XuThe Shanghai Institute of Hypertension, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Yan LiThe Shanghai Institute of Hypertension, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.ORCID 0000-0002-5825-5968
Yook-Chin ChiaDepartment of Medical Sciences, School of Medical and Life Sciences, Sunway University, Bandar Sunway, Malaysia.ORCID 0000-0003-1995-0359
Peera BuranakitjaroenDivision of Hypertension, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Hao-Min ChengCenter for Evidence-based Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.ORCID 0000-0002-3885-6600
Minh Van HuynhDepartment of Internal Medicine, Hue University of Medicine and Pharmacy, Hue University, Hue, Vietnam.ORCID 0000-0003-4273-4187
Guru Prasad SogunuruMIOT International Hospital, Chennai, Tamil Nadu, India.ORCID 0000-0002-1410-9328
Jam Chin TayDepartment of General Medicine, Tan Tock Seng Hospital, Singapore, Singapore.ORCID 0000-0001-7657-4383
Tzung-Dau WangCardiovascular Center and Division of Cardiology, Department of Internal Medicine, National Taiwan University Hospital, Taipei City, Taiwan.ORCID 0000-0002-7180-3607
Kazuomi KarioDivision of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Tochigi, Japan.ORCID 0000-0002-8251-4480
Ji-Guang WangThe Shanghai Institute of Hypertension, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.ORCID 0000-0001-8511-1524
Shanghai Jiao Tong University · CNHue University · VNJichi Medical University · JPMadras Institute of Orthopaedics and Traumatology · INNational Taiwan University Hospital · TWNational Yang Ming Chiao Tung University · TWSiriraj Hospital · THTan Tock Seng Hospital · SGUniversity of Malaya · MY

Funding

National Natural Science Foundation of China 81770455National Natural Science Foundation of China 82070432National Natural Science Foundation of China 82070435National Natural Science Foundation of China 91639203Shanghai Commission of Science and Technology 19DZ2340200
6 · The paper itself

Abstract

There is emerging evidence that α1-blockers can be safely used in the treatment of hypertension. These drugs can be used in almost all hypertensive patients for blood pressure control. However, there are several special indications. Benign prostatic hyperplasia is a compelling indication of α1-blockers, because of the dual treatment effect on both high blood pressure and lower urinary tract symptoms. Many patients with resistant hypertension would require α1-blockers as add-on therapy. Primary aldosteronism screen is a rapidly increasing clinical demand in the management of hypertension, where α1-blockers are useful for blood pressure control in the preparation for the measurement of plasma aldosterone and renin. Nonetheless, α1-blockers have to be used under several considerations. Among the currently available agents, only long-acting α1-blockers, such as doxazosin gastrointestinal therapeutic system 4-8 mg daily and terazosin 2-4 mg daily, should be chosen. Orthostatic hypotension is a concern with the use of α1-blockers especially in the elderly, and requires careful initial bedtime dosing and avoiding overdosing. Fluid retention is potentially also a concern, which may be overcome by combining an α1-blocker with a diuretic.

Indexed as

HypertensionAdrenergic alpha-AntagonistsAgedAldosteroneAntihypertensive AgentsDiureticsDoxazosinHumansReninAdrenergic alpha-AntagonistsAldosteroneAntihypertensive AgentsDiureticsDoxazosinReninbenign prostatic hyperplasiahypertensionprimary aldosteronism screenresistant hypertensionα1-blocker

Identifiers

PMID36196467
PMCPMC9532918
OpenAlexW4301431257

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.