Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

A Review and Meta-Analysis of the Effect of Atenolol on All-Cause Mortality Risk among Asians With Chronic Progressive Diseases

Version 1 : Received: 14 September 2023 / Approved: 22 September 2023 / Online: 22 September 2023 (04:36:12 CEST)

How to cite: Alkattan, A.; Alsalameen, E.; Harmoush, A.; Farawati, M.N.; Alsharif, H.; Mahmoud, N.; Farawati, M.A.; Alfaleh, A.; Kandeel, M.; Radwan, N. A Review and Meta-Analysis of the Effect of Atenolol on All-Cause Mortality Risk among Asians With Chronic Progressive Diseases. Preprints 2023, 2023091522. https://doi.org/10.20944/preprints202309.1522.v1 Alkattan, A.; Alsalameen, E.; Harmoush, A.; Farawati, M.N.; Alsharif, H.; Mahmoud, N.; Farawati, M.A.; Alfaleh, A.; Kandeel, M.; Radwan, N. A Review and Meta-Analysis of the Effect of Atenolol on All-Cause Mortality Risk among Asians With Chronic Progressive Diseases. Preprints 2023, 2023091522. https://doi.org/10.20944/preprints202309.1522.v1

Abstract

Background: The current review was conducted to determine the effectiveness of atenolol on all-cause mortality rate among Asian patients with chronic progressive diseases, mainly diabetes mellitus, primary hypertension, and coronary artery disease. Methods: We searched the COCHRANE, MEDLINE, TRIP, and EMBASE databases for published articles up to 31 March 2023. Studies that compared all-cause mortality rates among Asian patients who were on atenolol or other medications were included. Results: The review included 79603 Asian patients from three cohort studies. Out of the studied patients, 36046 were atenolol users and 43557 were non-atenolol users. The review revealed that atenolol users recorded lower all-cause mortality rates compared to non-users with a significant difference (OR= 0.57, CI= 0.44-0.75, P<0.001). The pooled estimate of the all-cause mortality rate was also lower among atenolol users (7.02%) compared to metoprolol tartrate users (13.15%) with a significant difference (OR= 0.50, CI= 0.47-0.53, p < 0.0001). Although the included studies were categorized as having a low risk of bias for most of the studied domains, significant heterogeneity was recorded across these studies (I2 =88%, P=0.001). Conclusion: This review found that atenolol when compared to a control or metoprolol tartrate, has a significant effect in reducing the all-cause mortality rate among Asian patients with chronic progressive disease.

Keywords

Atenolol; mortality; Asians; chronic progressive disease; cardiovascular disease

Subject

Medicine and Pharmacology, Medicine and Pharmacology

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