Evidence map›Paper›PMID 39661964›Full record

Observational studyJMIR cardio2024

The Effect of Inhaled Beta-2 Agonists on Heart Rate in Patients With Asthma: Sensor-Based Observational Study.

Rishi Jayant Khusial, Jacob K Sont, Omar S Usmani, Matteo Bonini, Kian Fan Chung, Stephen James Fowler, Persijn J Honkoop

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in JMIR cardio, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02774772 (The Use of Home-monitoring and mHealth Systems to Predict Asthma Control and the Occurrence of Asthma Exacerbations), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT02774772 completednot on this map

The Use of Home-monitoring and mHealth Systems to Predict Asthma Control and the Occurrence of Asthma Exacerbations

TypeobservationalSponsorManchester University NHS Foundation TrustRan2016 to 2018Enrolled150ConditionsAsthma
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  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

7 authors.

Rishi Jayant KhusialDepartment of Biomedical Data Sciences, Leiden University Medical Center, Leiden, Netherlands.ORCID https://orcid.org/0000-0003-1031-4110
Jacob K SontDepartment of Biomedical Data Sciences, Leiden University Medical Center, Leiden, Netherlands.ORCID https://orcid.org/0000-0002-5840-0651
Omar S UsmaniNational Heart and Lung Institute, Imperial College London & Royal Brompton and Harefield NHS Trust, London, United Kingdom.ORCID https://orcid.org/0000-0002-4367-254X
Matteo BoniniNational Heart and Lung Institute, Imperial College London & Royal Brompton and Harefield NHS Trust, London, United Kingdom.ORCID https://orcid.org/0000-0001-9326-1370
Kian Fan ChungNational Heart and Lung Institute, Imperial College London & Royal Brompton and Harefield NHS Trust, London, United Kingdom.ORCID https://orcid.org/0000-0001-7101-1426
Stephen James FowlerNIHR Manchester Biomedical Research Centre (BRC), University of Manchester, and Manchester University NHS Foundation Trust - Wythenshawe Hospital, Manchester, United Kingdom.ORCID https://orcid.org/0000-0002-4524-1663
Persijn J HonkoopDepartment of Biomedical Data Sciences, Leiden University Medical Center, Leiden, Netherlands.ORCID https://orcid.org/0000-0003-2051-4183

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBeta-2 agonists play an important role in the management of asthma. Inhaled long-acting beta-2 agonists (LABAs) and short-acting beta-2 agonists (SABAs) cause bronchodilation by stimulating adrenoceptors. These receptors are also present in cardiac cells and, as a side effect, could also be stimulated by inhaled beta-2 agonists.

objectiveThis study aims to assess the effect of beta-2 agonists on heart rate (HR).

methodsThe data were retrieved from an observational study, the myAirCoach Quantification Campaign. Beta-2 agonist use was registered by self-reported monthly questionnaires and by smart inhalers. HR was monitored continuously with the Fitbit Charge HR tracker (Fitbit Inc). Patients (aged 18 years and older) were recruited if they had uncontrolled asthma and used inhalation medication. Our primary outcome was the difference in HR between LABA and non-LABA users. Secondary outcomes were the difference in HR on days SABAs were used compared to days SABAs were not used and an assessment of the timing of inhaler use during the day.

resultsPatients using LABA did not have a clinically relevant higher HR (average 0.8 beats per minute difference) during the day. Around the moment of SABA inhalation itself, the HR does increase steeply, and it takes 138 minutes before it returns to the normal range.

conclusionsThis study indicates that LABAs do not have a clinically relevant effect on HR. SABAs are instead associated with a short-term HR increase.

trial registrationClinicalTrials.gov NCT02774772; https://clinicaltrials.gov/study/NCT02774772.

Indexed as

Adrenergic beta-2 Receptor AgonistsAsthmaHeart RateAdministration, InhalationAdultAgedFemaleHumansMaleMiddle AgedAdrenergic beta-2 Receptor Agonistsasthmaasthma managementbeta-2 agonistscardiac cellsFitbitheart rateinhalerinhaler medicationmHealthmonitoringobservational studysensorside effects

Identifiers

PMID39661964
PMCPMC11669870

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Registered trials

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.