Evidence map›Paper›PMID 39717305›Full record

ArticleCureus2024

The Implementation and Outcomes of Personalized Antihypertensive Therapy Based on Pharmacogenetic Testing: A Retrospective Study Examining Blood Pressure Control and Medication Tolerability.

Youksal Khan, Suriya Bala Shanmugar, Urooj Fatima Ahmad, Amna Mansoor, Taiwo Asanat Gbamgbola, Waqas Farooq, Jennifer Ifeoma Anene, Adees Wirtan Sarkees Bedros, Muhammad Gulfam

Abstract read
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Preliminary Application of Antihypertensive Gene Detection in the Treatment of Hypertension.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Trial
  2. Article
  3. 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

9 authors.

Youksal KhanOncology Department, Jinnah Postgraduate Medical Centre, Karachi, PAK.
Suriya Bala ShanmugarInternal Medicine Department, ACS Medical College and Hospital, Chennai, IND.
Urooj Fatima AhmadMedicine Department, Punjab Rangers Teaching Hospital, Lahore, PAK.
Amna MansoorInternal Medicine Department, Central Park Teaching Hospital, Lahore, PAK.
Taiwo Asanat GbamgbolaEpidemiology and Public Health Department, International University of the Health Sciences, St. Kitts, KNA.
Waqas FarooqInternal Medicine Department, King Fahad Armed Forces Hospital, Jeddah, SAU.
Jennifer Ifeoma AneneMedicine Department, Ivano-Frankivsk National Medical University, Ivano-Frankivsk, UKR.
Adees Wirtan Sarkees BedrosInternal Medicine Department, School of Medicine, University of Jordan, Amman, JOR.
Muhammad GulfamMedicine Department, Khyber Medical University, Peshawar, PAK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHypertension management typically relies on standardized treatment regimens, which may not account for individual genetic variations that affect drug metabolism and response.

objectiveThe objective of this study was to evaluate the effectiveness of personalized antihypertensive therapy, guided by pharmacogenetic testing, in terms of blood pressure (BP) control and medication tolerability. MATERIALS AND

methodsA retrospective cohort study was conducted at Jinnah Postgraduate Medical Centre, Karachi, from January 2023 to December 2023. The study included 330 hypertensive patients who received either conventional care (n = 165) or personalized therapy directed by pharmacogenetic testing (n = 165). Data on patient demographics, genetic test results, antihypertensive drug prescriptions, and blood pressure readings at baseline, three months, and six months were extracted from electronic health records. Reports of adverse effects were used to assess medication tolerability. Independent t-tests were employed for statistical analysis (SPSS version 25 (IBM Corp., Armonk, NY)) to evaluate changes in blood pressure and adverse effects between the two groups, with a significance level set at p < 0.05.

resultsAmong the 330 hypertensive patients, the Personalized Therapy group (n = 165) showed a significant reduction in systolic blood pressure by 17.8 mmHg (±6.4) and diastolic blood pressure by 11.3 mmHg (±5.7) over six months, compared to reductions of 8.7 mmHg (±6.7) and 5.7 mmHg (±4.8), respectively, in the Standard Therapy group (n = 165) (p < 0.001). Additionally, the Personalized Therapy group experienced fewer adverse effects, with 15 patients reporting dizziness and five reporting gastrointestinal issues, compared to 30 patients with dizziness and 10 with gastrointestinal issues in the Standard Therapy group.

conclusionPersonalized antihypertensive therapy based on pharmacogenetic testing significantly improves blood pressure control and medication tolerability compared to standard treatment, supporting its broader implementation in hypertension management.

Indexed as

antihypertensive therapyblood pressure controlhypertensionmedication tolerabilitypersonalized medicinepharmacogenetics

Identifiers

PMID39717305
PMCPMC11664490

What Socratic holds

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Registered trials

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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 Socratic graph.