Evidence map›Paper›PMID 41328173›Full record

ArticleHealth science reports2025

Role of Angiotensin Receptor Blockers on Cardiovascular Protection in Marfan Syndrome: A Literature Review.

Hashim Mohamed Siraj, Sakshi P Bidkar, Muhammad Hassan, Nivedita Pant, Muhammad Husnain Ahmad, Masab Ali, Onyekachi Emmanuel Anyagwa, Zuha Zafar, Sumbla Fayyaz, Muhammad Irfan

Abstract read
In one paragraph

Article in Health science reports, 2025. 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
–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

1 citing paper in PubMed.

  1. Article
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

10 authors.

Hashim Mohamed SirajDepartment of Medicine Ivane Javakhishvili Tbilisi State University Tbilisi Georgia.ORCID https://orcid.org/0009-0004-3847-2027
Sakshi P BidkarDepartment of Medicine David Tvildiani Medical University Tbilisi Georgia.ORCID https://orcid.org/0009-0004-3551-2978
Muhammad HassanDepartment of Internal Medicine Punjab Medical College Faisalabad Pakistan.ORCID https://orcid.org/0009-0006-6747-7980
Nivedita PantDepartment of Medicine David Tvildiani Medical University Tbilisi Georgia.ORCID https://orcid.org/0009-0004-5672-9877
Muhammad Husnain AhmadDepartment of Medicine Tentishev Satkynbai Memorial Asian Medical Institute Gagarina Kant Kyrgyzstan.ORCID https://orcid.org/0009-0006-5248-0749
Masab AliDepartment of Internal Medicine Punjab Medical College Faisalabad Pakistan.ORCID https://orcid.org/0009-0007-8599-6861
Onyekachi Emmanuel AnyagwaDepartment of Medicine School of Medicine, New Vision University Tbilisi Georgia.ORCID https://orcid.org/0000-0002-2991-9833
Zuha ZafarDepartment of Medicine Allied Hospital Faisalabad Pakistan.
Sumbla FayyazDepartment of Medicine Allied Hospital Faisalabad Pakistan.
Muhammad IrfanDepartment of Medicine Allied Hospital Faisalabad Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Marfan Syndrome (MFS) is a hereditary connective tissue disorder with severe cardiovascular complications, including aortic aneurysms and dissections. Current therapies, such as beta-blockers, have limitations in preventing disease progression. Angiotensin receptor blockers (ARBs) have emerged as a potential therapy due to their modulation of the renin-angiotensin-aldosterone system. This review evaluates the evidence of ARBs' cardiovascular benefits in MFS, focusing on their effects on aortic root dilation, stiffness, and clinical outcomes. Methods: A review of literature published between January 2000 and June 2024 was conducted using databases like PubMed, Scopus, Web of Science, and Cochrane Library. Search terms included "Marfan Syndrome," "Angiotensin Receptor Blockers," and "cardiovascular outcomes." Studies assessing the efficacy and safety of ARBs in MFS were included, with their findings summarized descriptively. Results: Preclinical studies demonstrated ARBs' effectiveness in reducing aortic root dilation and stiffness in murine models of MFS. Clinical trials highlighted losartan's ability to slow aortic root dilation in adults and children, with synergistic effects when combined with beta-blockers. Despite promising results, variability in study designs and dosage regimens limited comparability. A systematic review noted significant TGF-β inhibition-related improvements in pediatric patients. However, long-term safety and optimal dosing require further exploration. Conclusion: ARBs show promise in mitigating cardiovascular complications in MFS by reducing aortic root dilation and improving vascular function. Further research is essential to determine optimal dosing, long-term efficacy, and combination therapy potential, paving the way for personalized management strategies to improve patient outcomes.

Indexed as

angiotensin receptor blockeraortic dissectionaortic rootMarfan syndromeRAAS

Identifiers

PMID41328173
PMCPMC12665146

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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.