Evidence map›Paper›PMID 26350222›Full record

ArticleJournal of cardiovascular translational research2015

Peripheral Venous Hemoglobin and Red Blood Cell Mass Mismatch in Volume Overload Systolic Heart Failure: Implications for Patient Management.

Wayne L Miller, Brian P Mullan

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Journal of cardiovascular translational research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04156854 (Pathophysiologic and Outcomes Impact of the Relation of Intravascular Volume Expansion to Neuroendocrine-Renal Function Profiles in Chronic Heart Failure - Pathway to More Individualized Therapy), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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.

NCT04156854 nacompletednot on this mapstarted 2020, after this paper: background citation

Pathophysiologic and Outcomes Impact of the Relation of Intravascular Volume Expansion to Neuroendocrine-Renal Function Profiles in Chronic Heart Failure - Pathway to More Individualized Therapy

TypeinterventionalSponsorMayo ClinicRan2020 to 2022Enrolled15ConditionsHeart FailureArmsQuantitated Blood Volume Analysis
3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Article
  2. Association between glycated haemoglobin ADiabetes, obesity & metabolism · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Fluid Volume Homeostasis in Heart Failure: A Tale of 2 Circulations.Journal of the American Heart Association · 2022
    Review
  12. Blood volume expansion, normovolemia, and clinical outcomes in chronic human heart failure: more is better.American journal of physiology. Heart and circulatory physiology · 2021
    Observational
  13. Article
  14. Article
  15. Article
  16. Observational
  17. 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

2 authors.

Wayne L MillerDivision of Cardiovascular Diseases, Mayo Clinic, 200 First Street, SW, Rochester, MN, 55905, USA. miller.wayne@mayo.edu.
Brian P MullanDivision of Diagnostic Radiology, Mayo Clinic, Rochester, MN, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Peripheral venous hemoglobin (Hb) measurements are considered to accurately reflect circulating red blood cell mass (RBCM). In volume overload decompensated chronic heart failure (DCHF), reliance on Hb values may be misleading. Using quantitative radiolabel blood volume analysis (BVA), we evaluated the relation of RBCM to volume overload and reliability of Hb measurements to reflect RBC status in patients hospitalized for DCHF. Of 32 patients evaluated (LVEF <50 %), 19 met WHO Hb criteria for anemia. By BVA, however, only 4/19 had true anemia (low Hb and low RBCM) while 15/19 demonstrated plasma volume expansion dilution-related "anemia" (6 low Hb/normal RBCM, 9 low Hb/excess RBCM). The remaining 13/32 had normal range Hb (12 with excess RBCM). Overall, 66 % of cohort demonstrated RBCM excess. RBC profiles are highly variable in DCHF, and peripheral Hb values are often misleading in identifying RBC status. These findings have implications for volume management.

Indexed as

ErythrocytesVeinsAgedAnemiaBlood VolumeBlood Volume DeterminationChronic DiseaseDiagnosis, DifferentialFemaleHeart FailureHemoglobinsHumansMaleHemoglobinsChronic heart failureQuantitative blood volume analysisRed blood cell massVolume overload

Identifiers

What OpenQuestion holds

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Registered trials

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.