Evidence map›Paper›PMID 37351813›Full record

SynthesisAmerican journal of cardiovascular drugs : drugs, devices, and other interventions2023

The Efficacy and Safety of Etripamil Nasal Spray for Acute Paroxysmal Supraventricular Tachycardia: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Mohamed Abuelazm, Soumya Kambalapalli, Othman Saleh, Mohamed A Elzeftawy, Khaled Albakri, Ibrahim Gowaily, Basel Abdelazeem

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in American journal of cardiovascular drugs : drugs, devices, and other interventions, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.5field-weighted citation impact, top 16% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Review
  3. 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

7 authors at 3 institutions in 3 countries.

Mohamed AbuelazmFaculty of Medicine, Tanta University, Tanta, Gharbia Governorate, Egypt.
Soumya KambalapalliDepartment of Internal Medicine, McLaren Health Care, Flint, MI, USA.
Othman SalehFaculty of Medicine, The Hashemite University, Zarqa, Jordan.
Mohamed A ElzeftawyFaculty of Medicine, Tanta University, Tanta, Gharbia Governorate, Egypt. mohamadashraf13466@gmail.com.ORCID http://orcid.org/0000-0001-5619-9803
Khaled AlbakriFaculty of Medicine, The Hashemite University, Zarqa, Jordan.
Ibrahim GowailyFaculty of Medicine, Tanta University, Tanta, Gharbia Governorate, Egypt.
Basel AbdelazeemDepartment of Internal Medicine, McLaren Health Care, Flint, MI, USA.
Tanta University · EGHashemite University · JOMcLaren Health Care · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundParoxysmal supraventricular tachycardia (PSVT) treatment requires medically supervised intervention. Etripamil is a novel short-acting calcium channel blocker. Its intranasal spray formulation has a rapid onset of action and shows promise for the unsupervised treatment of PSVT.

objectiveWe aimed to evaluate the efficacy and safety of etripamil nasal spray for the acute conversion of PSVT.

methodsA systematic review and meta-analysis synthesizing randomized controlled trials (RCTs), which were retrieved by systematically searching the PubMed, EMBASE, Web of Science, SCOPUS, and Cochrane databases through to 1 December 2022. RevMan version 5.4 software was used to pool dichotomous outcomes using risk ratio (RR) presented with the corresponding confidence interval (CI).

resultsThree RCTs with a total of 496 participants were included in our analysis. Etripamil was effective for PSVT conversion at 15 min (RR 1.84, 95% CI 1.37-2.48), 30 min (RR 1.86, 95% CI 1.42-2.44), and 60 min (RR 1.25, 95% CI 1.05-1.50) after drug administration; decreasing medical intervention-seeking (RR 0.58, 95% CI 0.37-0.90); and decreasing emergency room (ER) visits (RR 0.61, 95% CI 0.38-0.97). However, there was no difference at 300 min (RR 1.10, 95% CI 0.97-1.25) and it was associated with higher rates of adverse events (RR 3.17, 95% CI 2.15-4.69).

conclusionEtripamil nasal spray was effective and well tolerated to induce PSVT termination for up to 60 min. Therefore, etripamil nasal spray constitutes a promising strategy for PSVT self-termination without medical supervision; however, further RCTs are required before endorsement in clinical practice.

Indexed as

Nasal SpraysTachycardia, VentricularBenzoatesHumansRandomized Controlled Trials as TopicBenzoatesetripamilNasal Sprays

Identifiers

PMID37351813
PMCPMC10328856
OpenAlexW4381716732

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.