Evidence map›Paper›PMID 22581217›Full record

ReviewHeart failure reviews2013

Current management and future directions for the treatment of patients hospitalized for heart failure with low blood pressure.

Mihai Gheorghiade, Muthiah Vaduganathan, Andrew Ambrosy, Michael Böhm, Umberto Campia, John G F Cleland, Francesco Fedele, Gregg C Fonarow, Aldo P Maggioni, Alexandre Mebazaa and 8 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Heart failure reviews, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

23 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Blood Pressure and Safety Events With Vericiguat in the VICTORIA Trial.Journal of the American Heart Association · 2021
    Article
  12. Timely and individualized heart failure management: need for implementation into the new guidelines.Clinical research in cardiology : official journal of the German Cardiac Society · 2021
    Review
  13. Guideline-directed medical therapy in real-world heart failure patients with low blood pressure and renal dysfunction.Clinical research in cardiology : official journal of the German Cardiac Society · 2021
    Article
  14. Article
  15. Optimization of Heart Failure Treatment by Heart Rate Reduction.International journal of heart failure · 2020
    Review
  16. Article
  17. Observational
  18. Observational
  19. Observational
  20. Review
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

18 authors.

Mihai GheorghiadeCenter of Cardiovascular Innovation, Northwestern University Feinberg School of Medicine, 645 North Michigan Ave, Suite 1006, Chicago, IL 60611, USA. m-gheorghiade@northwestern.edu
Muthiah Vaduganathan
Andrew Ambrosy
Michael Böhm
Umberto Campia
John G F Cleland
Francesco Fedele
Gregg C Fonarow
Aldo P Maggioni
Alexandre Mebazaa
Mandeep Mehra
Marco Metra
Savina Nodari
Peter S Pang
Piotr Ponikowski
Hani N Sabbah
Michel Komajda
Javed Butler

Funding

Vascular Medicine at Northwestern UniversityK12HL083790 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI MCDERMOTT, MARY MCGRAE · 2007 to 2012
$2.5M
NHLBI NIH HHS K12-HL083790
6 · The paper itself

Abstract

Although patients hospitalized with heart failure have relatively low in-hospital mortality, the post-discharge rehospitalization and mortality rates remain high despite advances in treatment. Most patients admitted for heart failure have normal or high blood pressure, but 15-25 % have low systolic blood pressure with or without signs and/or symptoms of hypoperfusion. All pharmacological agents known to improve the prognosis of patients with heart failure also reduce blood pressure, and this limits their use in patients with heart failure and low blood pressure (HF-LBP). However, patients with HF-LBP have much higher in-hospital and post-discharge mortality. In these patients, a conceptually important therapeutic target is to improve cardiac output in order to alleviate signs of hypoperfusion. Accordingly, the majority of these patients will require an inotrope as cardiac dysfunction is the cause of their low cardiac output. However, the short-term use of currently available inotropes has been associated with further decreases in blood pressure and increases in heart rate, myocardial oxygen consumption and arrhythmias. Agents that improve cardiac contractility without this undesirable effects should be developed. To the best of our knowledge, the epidemiology, pathophysiology and therapy of patients with HF-LBP have not been addressed thoroughly. In June 2010, a workshop that included scientists and clinicians was held in Rome, Italy. The objectives of this meeting were to (1) develop a working definition for HF-LBP, (2) describe its clinical characteristics and pathophysiology, (3) review current therapies and their limitations, (4) discuss novel agents in development and (5) create a framework for the design and conduct of future clinical trials.

Indexed as

AgedBlood PressureComorbidityCongresses as TopicDisease ManagementFemaleHeart FailureHospitalizationHospital MortalityHumansHypotensionMaleMiddle AgedPrognosisRomeTreatment Outcome

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.