Evidence map›Paper›PMID 37556093›Full record

SynthesisDrugs in R&D2023

Comparative Efficacy of Different Drugs for the Treatment of Dilated Cardiomyopathy: A Systematic Review and Network Meta-analysis.

Xinyu Tong, Lijuan Shen, Xiaomin Zhou, Yudan Wang, Sheng Chang, Shu Lu

Open access · goldAbstract readSystematic ReviewNetwork Meta-Analysis
In one paragraph

Synthesis in Drugs in R&D, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.8field-weighted citation impact, top 13% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Molecular mechanisms and intervention approaches of heart failure (Review).International journal of molecular medicine · 2025
    Review
  2. Article
  3. Hemodynamics in Left-Sided Cardiomyopathies.Reviews in cardiovascular medicine · 2024
    Review
  4. Review
  5. 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

6 authors at 1 institution in 1 country.

Xinyu TongWuxi Traditional Chinese Medicine Hospital, Nanjing University of Chinese Medicine, Nanjing, China.
Lijuan ShenWuxi Traditional Chinese Medicine Hospital, Nanjing University of Chinese Medicine, Nanjing, China. wxzy026@njucm.edu.cn.ORCID http://orcid.org/0000-0003-1501-5347
Xiaomin ZhouWuxi Traditional Chinese Medicine Hospital, Nanjing University of Chinese Medicine, Nanjing, China.
Yudan WangWuxi Traditional Chinese Medicine Hospital, Nanjing University of Chinese Medicine, Nanjing, China.
Sheng ChangWuxi Traditional Chinese Medicine Hospital, Nanjing University of Chinese Medicine, Nanjing, China.
Shu LuWuxi Traditional Chinese Medicine Hospital, Nanjing University of Chinese Medicine, Nanjing, China. 953023765@qq.com.
Nanjing University of Chinese Medicine · CN

Funding

Biological Network Integration Regulatory Mechanism of Linggui Yangxin Decoction in the Treatment of Dilated Cardiomyopathy (The National Natural Science Foundation of China) 82274427The Molecular Mechanism of Anti-pyroptosis of Shenqi Yangxin Decoction to Ameliorate Dilated Cardiomyopathy by Regulating DNA Methylation Involved in DNMT1 (Natural Science Foundation of Jiangsu Province) BK20201141
6 · The paper itself

Abstract

BACKGROUND AND

objectiveAt present, the therapies of dilated cardiomyopathy concentrated on the symptoms of heart failure and related complications. The study is to evaluate the clinical efficacy of a combination of various conventional and adjuvant drugs in treating dilated cardiomyopathy via network meta-analysis.

methodsThe study was reported according to the PRISMA 2020 statement. From inception through 27 June 2022, the PubMed, Embase, Cochrane library, and Web of Science databases were searched for randomized controlled trials on medicines for treating dilated cardiomyopathy. The quality of the included studies was evaluated according to the Cochrane risk of bias assessment. R4.1.3 and Revman5.3 software were used for analysis.

resultsThere were 52 randomized controlled trials in this study, with a total of 25 medications and a sample size of 3048 cases. The network meta-analysis found that carvedilol, verapamil, and trimetazidine were the top three medicines for improving left ventricular ejection fraction (LVEF). Ivabradine, bucindolol, and verapamil were the top 3 drugs for improving left ventricular end-diastolic dimension (LVEDD). Ivabradine, L-thyroxine, and atorvastatin were the top 3 drugs for improving left ventricular end-systolic dimension (LVESD). Trimetazidine, pentoxifylline, and bucindolol were the top 3 drugs for improving the New York Heart Association classification (NYHA) cardiac function score. Ivabradine, carvedilol, and bucindolol were the top 3 drugs for reducing heart rate (HR).

conclusionA combination of different medications and conventional therapy may increase the clinical effectiveness of treating dilated cardiomyopathy. Beta-blockers, especially carvedilol, can improve ventricular remodeling, cardiac function, and clinical efficacy in patients with dilated cardiomyopathy (DCM). Hence, they can be used if patients tolerate them. If LVEF and HR do not meet the standard, ivabradine can also be used in combination with other treatments. However, since the quality and number of studies in our research were limited, large sample size, multi-center, and high-quality randomized controlled trials are required to corroborate our findings.

Indexed as

Cardiomyopathy, DilatedTrimetazidineCarvedilolHumansIvabradinePropanolaminesRandomized Controlled Trials as TopicStroke VolumeVentricular Function, LeftVerapamilbucindololCarvedilolIvabradinePropanolaminesTrimetazidineVerapamil

Identifiers

PMID37556093
PMCPMC10439079
OpenAlexW4385683858

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.