Evidence map›Paper›PMID 37363594›Full record

ArticleAnnals of medicine and surgery (2012)2023

Use of midodrine in heart failure: a review.

Sudarshan Gautam, Saral Lamichhane, Nava R Sharma, Prabal Kc, Arjun Basnet, Sajog Kansakar, Madalasa Pokhrel, Vijay Shetty, Norbert Moskovits

Open access · diamondAbstract read
In one paragraph

Article in Annals of medicine and surgery (2012), 2023. 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
0.9field-weighted citation impact, top 24% 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, 4 citations in OpenAlex.

  1. 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

9 authors at 5 institutions in 2 countries.

Sudarshan GautamMaimonides Medical Center, Brooklyn.
Saral LamichhaneGandaki Medical College, Pokhara.
Nava R SharmaManipal College of Medical Sciences.
Prabal KcKathmandu Medical College, Kathmandu, Nepal.
Arjun BasnetMaimonides Medical Center, Brooklyn.
Sajog KansakarManipal College of Medical Sciences.
Madalasa PokhrelMontefiore New Rochelle Hospital, New Rochelle, USA.
Vijay ShettyMaimonides Medical Center, Brooklyn.
Norbert MoskovitsMaimonides Medical Center, Brooklyn.
Maimonides Medical Center · USManipal College of Medical Sciences · NPKathmandu Medical College Teaching Hospital · NPPokhara University · NPSound Shore Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Heart failure is a global health concern, affecting millions of individuals worldwide. Midodrine, an alpha-1 receptor agonist, might be a potential treatment option for patients with heart failure and concurrent hypotension. This review provides a comprehensive summary of the existing literature on the use of midodrine in heart failure patients, focusing on its pharmacology, epidemiology, and public health impact. Guideline-directed medical therapy (GDMT) is essential in heart failure management, but hypotension may limit its initiation or up-titration. Studies have shown that midodrine can improve blood pressure, reduce the need for vasopressor support, and enable the prescription of GDMT in patients who are intolerant to it due to hypotension. However, there are concerns over increased all-cause mortality in some studies, small sample sizes, and nonrandomized study designs in others. Further research, including large-scale randomized controlled trials and long-term follow-up studies, is needed to better understand the risks and benefits of midodrine use in heart failure patients, particularly in relation to GDMT. Clinicians should consider the potential advantages of midodrine against the limited evidence and potential risks before incorporating it into their clinical practice for heart failure treatment.

Indexed as

cardiac failurecongestive cardiac failureheart failurehypotensionmidodrine

Identifiers

PMID37363594
PMCPMC10289700
OpenAlexW4382181993

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.