Evidence map›Paper›PMID 41437987›Full record

Trial reportFrontiers in cardiovascular medicine2025

Assessing the cardiovascular and potassium lowering effects of levalbuterol compared to albuterol: a randomized control trial.

Baraa Shebli, Mike Ghabally, Muhammad Besher Shabouk, Ahmad Yamen Arnaout, Mohamed Besher Zeina, Mahmoud Malhis

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Frontiers in cardiovascular medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05173584 (Is Levalbuterol an Effective Treatment With Less Cardiac Side Effects Than Albuterol in Hyperkalemia Patients), which is not on this map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing 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.

NCT05173584 phase4unknown statusnot on this map

Is Levalbuterol an Effective Treatment With Less Cardiac Side Effects Than Albuterol in Hyperkalemia Patients: A Randomized-controlled Clinical Trial Protocol.

TypeinterventionalSponsorUniversity of AleppoRan2021 to 2021Enrolled30ConditionsHyperkalemiaArmsLevalbuterol, Albuterol
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Baraa ShebliFaculty of Medicine, Department of Internal Medicine, Division of Cardiology, University of Aleppo, Aleppo University Hospital, Aleppo, Syria.
Mike GhaballyFaculty of Medicine, Department of Internal Medicine, Division of Cardiology, University of Aleppo, Aleppo University Hospital, Aleppo, Syria.
Muhammad Besher ShaboukFaculty of Medicine, University of Aleppo, Aleppo University Hospital, Aleppo, Syria.
Ahmad Yamen ArnaoutFaculty of Medicine, Department of Internal Medicine, University of Aleppo, Aleppo University Hospital, Aleppo, Syria.
Mohamed Besher ZeinaDepartment of Mathematical Statistics, Faculty of Science, University of Aleppo, Aleppo, Syria.
Mahmoud MalhisFaculty of Medicine, Department of Internal Medicine, Division of Cardiology, University of Aleppo, Aleppo University Hospital, Aleppo, Syria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Beta-agonists like Levalbuterol and Albuterol are used in the treatment of Hyperkalemia. However, few studies in the medical literature have directly compared the cardiac effects and potassium-lowering efficacy of levalbuterol and albuterol, yielding inconclusive results. Understanding the cardiovascular effects and potassium-lowering abilities of these medications in hyperkalemic patients is crucial for optimizing treatment strategies and minimizing adverse events. Methods: This randomized controlled trial conducted at Aleppo University Hospital in Syria aimed to compare the cardiovascular and potassium-lowering effects of Levalbuterol vs. Albuterol in hyperkalemic patients. The study, carried out between October 2021 and February 2022, utilized a single-center single-blinded two-armed design with patients randomized using a computer-generated sequence and block randomization method. Results: The results showed no significant difference in mean HR change between Levalbuterol and Albuterol groups at 30 min, nor in the change in potassium serum levels at 90 min. Both drugs exhibited similar patterns in HR changes over time and blood pressure variations at different points. Despite limitations in data collection for side effects, the reported symptoms in both groups were consistent with known side effects of beta-agonists, with tremors and nervousness being the most commonly reported. Conclusion: Our study provides the first direct insights into the effects of Levalbuterol and Albuterol on heart rate, potassium levels, and blood pressure which would be very important in specific cases such as in patients with heart failure. Both medications showed similar patterns in heart rate changes, potassium levels, and blood pressure variations at different time points. Clinical Trial Registration: Clinicaltrials.gov, identifier NCT05173584.

Indexed as

albuterolbeta2-agonistscardiovascular side effectshyperkalemialevalbuterol

Identifiers

PMID41437987
PMCPMC12719243

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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.