Evidence map›Paper›PMID 37646208›Full record

ArticleJournal of the American Heart Association2023

New Users of Angiotensin II Receptor Blocker-Versus Angiotensin-Converting Enzyme Inhibitor-Based Antihypertensive Medication Regimens and Cardiovascular Disease Events: A Secondary Analysis of ACCORD-BP and SPRINT.

Jordan B King, Ransmond O Berchie, Catherine G Derington, Zachary A Marcum, Daniel O Scharfstein, Tom H Greene, Jennifer S Herrick, Joshua A Jacobs, Alexander R Zheutlin, Adam P Bress and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 23% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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

11 authors at 5 institutions in 1 country.

Jordan B KingIntermountain Healthcare Department of Population Health Sciences University of Utah Spencer Fox Eccles School of Medicine UT Salt Lake City USA.ORCID 0000-0002-6783-7951
Ransmond O BerchieIntermountain Healthcare Department of Population Health Sciences University of Utah Spencer Fox Eccles School of Medicine UT Salt Lake City USA.ORCID 0000-0001-6883-6822
Catherine G DeringtonIntermountain Healthcare Department of Population Health Sciences University of Utah Spencer Fox Eccles School of Medicine UT Salt Lake City USA.ORCID 0000-0001-7382-4607
Zachary A MarcumDepartment of Pharmacy, School of Pharmacy University of Washington WA Seattle USA.ORCID 0000-0002-4690-2304
Daniel O ScharfsteinIntermountain Healthcare Department of Population Health Sciences University of Utah Spencer Fox Eccles School of Medicine UT Salt Lake City USA.
Tom H GreeneIntermountain Healthcare Department of Population Health Sciences University of Utah Spencer Fox Eccles School of Medicine UT Salt Lake City USA.
Jennifer S HerrickDepartment of Internal Medicine University of Utah Spencer Fox Eccles School of Medicine UT Salt Lake City USA.ORCID 0000-0001-9257-8843
Joshua A JacobsIntermountain Healthcare Department of Population Health Sciences University of Utah Spencer Fox Eccles School of Medicine UT Salt Lake City USA.ORCID 0000-0002-9621-9060
Alexander R ZheutlinDivision of Cardiology Feinberg School of Medicine, Northwestern University Chicago IL USA.ORCID 0000-0002-5578-782X
Adam P BressIntermountain Healthcare Department of Population Health Sciences University of Utah Spencer Fox Eccles School of Medicine UT Salt Lake City USA.ORCID 0000-0002-2259-5039
Jordana B CohenDepartment of Medicine, Renal-Electrolyte and Hypertension Division Perelman School of Medicine at the University of Pennsylvania PA Philadelphia USA.ORCID 0000-0003-4649-079X
Intermountain Healthcare · USNorthwestern University · USUniversity of Pennsylvania · USUniversity of Utah · USUniversity of Washington · US

Funding

CTSA UM1 Program at University of UtahUM1TR004409 · NCATS · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI RACHEL HESS, Jennifer Juhl Majersik · 2023 to 2026
$21.9M
UNIVERSITY OF UTAH CENTER FOR CLINICAL AND TRANSLATIONAL SCIENCE-UL1: BPCAUL1RR025764 · NCRR · UNIVERSITY OF UTAH · PI MCCLAIN, DONALD A. · 2008 to 2011
$19.4M
Informing optimal first-line antihypertensive therapy: A rigorous comparative effectiveness analysis of ARBs vs. ACEIs on long-term risk of dementia, cancer, heart disease, and quality of lifeR01AG074989 · NIA · UNIVERSITY OF PENNSYLVANIA · PI BRESS, ADAM P, COHEN, JORDANA B. · 2022 to 2025
$3.3M
Patient Level Prediction of Clinical Outcomes and Cost-Effectiveness in SPRINT (Optimize-SPRINT)R01HL139837 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BRESS, ADAM P, MORAN, ANDREW EDWARD · 2018 to 2021
$3.2M
Development, testing, and implementation of virtual statin associated muscle symptom (SAMS) managementR01HL157439 · NHLBI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI KING, JORDAN BRADLEY · 2021 to 2025
$3.1M
Guiding next steps for SPRINT-MIND implementation: Identifying high-benefit subgroups and comparative effects of ARB- vs. ACEI-based regimensR01AG065805 · NIA · UNIVERSITY OF UTAH · PI BRESS, ADAM P · 2020 to 2023
$2.7M
Utah Stimulating Access to Research in ResidencyR38HL167282 · NHLBI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Margaret B Conroy, JOSEPH BARNEY STANFORD · 2023 to 2026
$924k
EXTRAMURAL RESEARCH FACILITIES CONSTRUCTIONC06RR011234 · NCRR · UNIVERSITY OF UTAH · PI MATSEN, JOHN M · 1995 to 1995
–
NCATS NIH HHS UM1 TR004409NCRR NIH HHS C06 RR011234NCRR NIH HHS UL1 RR025764NHLBI NIH HHS R01 HL139837NHLBI NIH HHS R01 HL157439NHLBI NIH HHS R38 HL167282NIA NIH HHS R01 AG065805NIA NIH HHS R01 AG074989
6 · The paper itself

Abstract

BACKGROUND Angiotensin II receptor blockers (ARBs) and angiotensin-converting enzyme inhibitors (ACEIs) block distinct components of the renin-angiotensin system. Whether this translates into differential effects on cardiovascular disease events remains unclear. METHODS AND RESULTS We used the ACCORD-BP (Action to Control Cardiovascular Risk in Diabetes-Blood Pressure) trial and the SPRINT (Systolic Blood Pressure Intervention Trial) to emulate target trials of new users of ARBs versus ACEIs on cardiovascular disease events (primary outcome) and death (secondary outcome). We estimated marginal cause-specific hazard ratios (HRs) and treatment-specific cumulative incidence functions with inverse probability of treatment weights. We identified 3298 new users of ARBs or ACEIs (ACCORD-BP: 374 ARB versus 884 ACEI; SPRINT: 727 ARB versus 1313 ACEI). For participants initiating ARBs versus ACEIs, the inverse probability of treatment weight rate of the primary outcome was 3.2 versus 3.5 per 100 person-years in ACCORD-BP (HR, 0.91 [95% CI, 0.63-1.31]) and 1.8 versus 2.2 per 100 person-years in SPRINT (HR, 0.81 [95% CI, 0.56-1.18]). There were no appreciable differences in pooled analyses, except that ARBs versus ACEIs were associated with a lower death rate (HR, 0.56 [95% CI, 0.37-0.85]). ARBs were associated with a lower rate of the primary outcome among subgroups of male versus female participants, non-Hispanic Black versus non-Hispanic White participants, and those randomly assigned to standard versus intensive blood pressure (

Indexed as

Antihypertensive AgentsCardiovascular DiseasesAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsAntiviral AgentsFemaleHumansMaleRenin-Angiotensin SystemAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsAntihypertensive AgentsAntiviral Agentsangiotensin‐converting enzyme inhibitorsangiotensin receptor antagonistscardiovascular diseaseshypertensionrenin‐angiotensin system

Identifiers

PMID37646208
PMCPMC10547357
OpenAlexW4386271499

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.