Evidence map›Paper›PMID 36287359›Full record

SynthesisHigh blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension2022

Evaluation of the Safety and Efficacy of Dual Therapy Perindopril/Amlodipine in the Management of Hypertension. A Systematic Review and Meta-Analysis.

Sadek Mostafa, Hosam Shabana, Farag Khalil, Ismail Mohamed El Mancy, Hendawy Abdel-Moety Zedan, Ahmed Elmoursi, Ibrahim Ghounim Ramadan, Saad El Deen Mohamed, Arafat Kassem, Islam Shawky Kamel

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 11% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Different Doses of Sacubitril/Valsartan Compared with Olmesartan in Patients with Essential Hypertension: A Systematic Review and Meta-Analysis.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2023
    Pooled it
  2. Article
  3. Article
  4. Review
  5. Observational
  6. Review
  7. Design, synthesis andRSC advances · 2023
    Article
  8. Slippage of an Undeployed Stent in the Left Main Artery: A Case Report Study.Heart views : the official journal of the Gulf Heart Association
    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 at 3 institutions in 2 countries.

Sadek MostafaDepartment of Internal Medicine, Al-Azhar University, Cairo, Egypt.
Hosam ShabanaDepartment of Internal Medicine, Al-Azhar University, Cairo, Egypt.
Farag KhalilDepartment of Internal Medicine, Al-Azhar University, Cairo, Egypt.
Ismail Mohamed El MancyDepartment of Internal Medicine, Al-Azhar University, Cairo, Egypt.
Hendawy Abdel-Moety ZedanDepartment of Internal Medicine, Al-Azhar University, Cairo, Egypt.
Ahmed ElmoursiCollege of Medicine, University of Kentucky, Lexington, KY, USA.
Ibrahim Ghounim RamadanDepartment of Internal Medicine, Al-Azhar University, Cairo, Egypt.
Saad El Deen MohamedDepartment of Internal Medicine, Al-Azhar University, Damietta, Egypt.
Arafat KassemDepartment of Internal Medicine, Al-Azhar University, Cairo, Egypt.
Islam Shawky KamelFayoum University Hospital, Fayoum, Egypt. shawky201920@gmail.com.ORCID http://orcid.org/0000-0001-6730-4488
Al-Azhar University · EGFayoum University · EGUniversity of Kentucky · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHypertension represent the commonest cause of death in 2017. Hypertension is classified into two types which are primary or essential hypertension and secondary hypertension. The perindopril-amlodipine combination showed a significant effect in reduction of the elevated BP and the cardiovascular complications.

aimTo evaluate the efficacy and safety of a fixed-dose single-pill combination of perindopril-amlodipine in hypertensive patients.

methodsWe searched PubMed, Medline, SCOPUS, and Web of Science for relevant clinical trials. Quality appraisal was evaluated according to GRADE and we assessed the risk of bias using Cochrane's risk of bias tool. We included the following outcomes: systolic blood pressure, diastolic blood pressure, pulse pressure, mean blood pressure, heart rate, cough, dizziness, headache, and peripheral edema. We performed the analysis of homogeneous data under the fixed-effects model, while analysis of heterogeneous data was analyzed under the random-effects model. We conducted a meta-regression according to the dose.

resultsWe included ten clinical trials. The pooled analysis showed that there was a significant reduction of the systolic blood pressure, diastolic blood pressure, pulse plessure, mean blood pressure, and heart rate after the the perindopril-amlodipine combination (MD = 18.96 [14.32, 23.60], P < 0.0001), (MD = 11.90 [8.45, 15.35], P < 0.0001), (MD = 8.44 [6.91, 9.97], P = 0.0001), (MD = 13.07 [5.86, 20.29], P = 0.0004), and (MD = 2.93 [0.89, 4.96], P = 0.005), respectively. The results of the meta-regression revealed that the efficacy is increased by increasing the dose (P < 0.001)

conclusionThe use of the perindopril-amlodipine combination had a significant effect on the reduction of SBP, DBP, mean blood pressure, pulse pressure, and HR.

Indexed as

HypertensionPerindoprilAmlodipineAntihypertensive AgentsBlood PressureDrug CombinationsHumansTreatment OutcomeAmlodipineAntihypertensive AgentsDrug CombinationsPerindoprilBlood pressureDual therapyHypertension

Identifiers

PMID36287359
OpenAlexW4307337928

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.