Evidence map›Paper›PMID 38830046›Full record

SynthesisAnnals of medicine2024

Efficacy of angiotensin receptor blockers for nocturnal blood pressure reduction: a systematic review and meta-analysis.

Jing Liu, Wei Chen, Shihuan Shao, Yuanyuan Chen, Hongyi Wang, Yang Xi, Luyan Wang

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Annals of medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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. Trial
  2. Trial
  3. Trial
  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

7 authors.

Jing LiuDepartment of Hypertension, Peking University People's Hospital, Beijing, China.ORCID 0000-0002-9714-7708
Wei ChenDepartment of Hypertension, Peking University People's Hospital, Beijing, China.
Shihuan ShaoDepartment of Hypertension, Peking University People's Hospital, Beijing, China.
Yuanyuan ChenDepartment of Hypertension, Peking University People's Hospital, Beijing, China.
Hongyi WangDepartment of Hypertension, Peking University People's Hospital, Beijing, China.
Yang XiDepartment of Hypertension, Peking University People's Hospital, Beijing, China.
Luyan WangDepartment of Hypertension, Peking University People's Hospital, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNocturnal blood pressure (BP) is correlated with an increased risk of cardiovascular events and is an important predictor of cardiovascular death in hypertensive patients.

objectiveNocturnal BP control is of great importance for cardiovascular risk reduction. This systematic review and meta-analysis aimed to explore the efficacy of angiotensin receptor blockers (ARBs) for nocturnal BP reduction in patients with mild to moderate hypertension.

methodsPICOS design structure was used to formulate the data extraction. All statistical calculations and analyses were performed with R.

resultsSeventy-seven studies with 13,314 participants were included. The overall analysis indicated that nocturnal BP drop varied considerably among different ARBs. Allisartan (13.04 [95% CI (-18.41, -7.68)] mmHg), olmesartan (11.67 [95% CI (-14.12, -9.21)] mmHg), telmisartan (11.11 [95% CI (-12.12, -10.11)] mmHg) were associated with greater reduction in nocturnal systolic BP. In the aspect of the nocturnal-diurnal BP drop ratio, only allisartan was greater than 1. While, the variation tendency of last 4-6 h ambulatory BP was basically consistent with nocturnal BP. Additionally, allisartan showed improvement effect in the proportion of patients with dipping BP pattern.

conclusionsThis study demonstrates that for patients with mild to moderate hypertension, allisartan, olmesartan and telmisartan have more advantages in nocturnal BP reduction among the ARBs, while allisartan can reduce nighttime BP more than daytime BP and improve the dipping pattern.

Indexed as

Angiotensin Receptor AntagonistsBlood PressureCircadian RhythmHypertensionAntihypertensive AgentsBlood Pressure Monitoring, AmbulatoryHumansImidazolesMaleMiddle AgedTetrazolesTreatment OutcomeAngiotensin Receptor AntagonistsAntihypertensive AgentsImidazolesolmesartanTetrazolesAngiotensin II AT1 receptor antagonists (ARBs)hypertensionmeta-analysisnocturnal blood pressure

Identifiers

PMID38830046
PMCPMC11149579

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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.