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. 2008 Jan 23;2008(1):CD003653. doi: 10.1002/14651858.CD003653.pub3

Nelson 1983.

Methods Single‐centre (US), randomized, single‐blind, controlled trial 
 Method of randomization/ allocation: NR 
 Duration of treatment : 1.5 h 
 Follow‐up: 48 h
Participants 28 patients with acute heart‐failure blood pressure levels that met our threshold for this category of patients.
Base‐line characteristics for the two randomized groups: 
 Isosorbide (N): n=14 
 Furosemide (F): n=14
Mean age in years 
 N: 56 
 F: 56 
 Mean SBP ± SE 
 N: 130±7 
 F: 119±4 
 Mean DBP ± SE 
 N: 75±3 
 F: 72±2
Interventions Isosorbide (N): n=14 
 Furosemide (F): n=14
Dose regimen: 
 N: Intravenous infusion of isosorbide dinitrate at initial dose of 50 mcg /kg and max 200 mcg/kg/h 
 F: IV infusion of furosemide 1 mg/kg
Study treatment lasted 1.5 hours after randomization and the target was to reduce systemic BP by 10 mm Hg. 
 Treatment started between 5‐14 h of AMI 
 Mean dose administrated : 
 Isosorbide dinitrate: mean cumulative dose 13.2 mg (146 mcg/min ‐considering 90 min of infusion). 
 Furosemide: mean dose 80 mg
Co‐interventions: NR
Outcomes Obtained from this trial for the two randomized groups: 
 Isosorbide (N) group: n=14 
 Furosemide (F) group: n=14 
 Total SAE: NR 
 Mortality : nil during 48 hours of follow‐up 
 Total Non‐fatal CVE: NR 
 Individual CVE: NR 
 Withdrawals due to adverse events: NR 
 Blood pressure: 
 Data was obtained from table II page 731. The calculated BP weighted mean change was: 
 Isosorbide: SBP: ‐6.6±22.4; DBP‐1.6±18.7 
 Furosemide: SBP: 1.6±18.7; DBP 1±11.2 
 The standard deviation of the change was not reported but it was imputed from the end point. 
 Heart Rate: 
 Data was obtained from table II page 731. The calculated HR weighted mean change was: 
 Isosorbide: 3±18.7 
 Furosemide: 2±14.96 
 The standard deviation of the change was not reported but it was imputed from the end point.
Notes Funding: Yorkshire Regional Hospital: West Riding Medical Research trust.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk B ‐ Unclear