Evidence map›Paper›PMID 31127482›Full record

ReviewHeart failure reviews2019

Cardiorenal syndrome in heart failure with preserved ejection fraction-an under-recognized clinical entity.

Akanksha Agrawal, Mario Naranjo, Napatt Kanjanahattakij, Janani Rangaswami, Shuchita Gupta

Abstract readReview
PubMed Publisher
In one paragraph

Review in Heart failure reviews, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
4.0field-weighted citation impact, top 5% of its field
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

24 citing papers in PubMed, 35 citations in OpenAlex.

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  12. New aspects in cardiorenal syndrome and HFpEF.Clinical kidney journal · 2022
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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

5 authors at 1 institution in 1 country.

Akanksha AgrawalDepartment of Internal Medicine, Albert Einstein Medical Center, 5501 Old York Road, Philadelphia, PA, 19141, USA. Akanksha21agr@gmail.com.ORCID 0000-0002-0718-7416
Mario NaranjoDepartment of Internal Medicine, Albert Einstein Medical Center, 5501 Old York Road, Philadelphia, PA, 19141, USA.
Napatt KanjanahattakijDepartment of Internal Medicine, Albert Einstein Medical Center, 5501 Old York Road, Philadelphia, PA, 19141, USA.
Janani RangaswamiDepartment of Nephrology, Albert Einstein Medical Center, Philadelphia, PA, USA.
Shuchita GuptaDepartment of Cardiology, Albert Einstein Medical Center, Philadelphia, PA, USA.
Einstein Medical Center Philadelphia · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiorenal syndrome (CRS) results from the complex and bidirectional interaction between the failing heart and the kidneys. Limited information exists about the pathophysiology and treatment options for worsening kidney function in the setting of heart failure with preserved ejection fraction (HFpEF). This review summarizes the salient pathophysiological pathways in CRS in patients with HFpEF, with emphasis on type 1 and type 2 phenotypes, and outlines diagnostic and therapeutic strategies that are applicable in this population. Elevated central venous and intra-abdominal pressure, left ventricular hypertrophy, LV strain, RAAS activation, oxidative injury, pulmonary hypertension, and RV dysfunction play key roles in the pathogenesis of CRS in the backdrop of HFpEF. The availability of biomarkers of renal and cardiac injury offer a new dimension in accurately diagnosing and quantifying end organ damage in CRS and will improve the accuracy of goal-directed therapies in this population. Novel targeted therapies such as the development of angiotensin/neprilysin inhibitors and sodium-glucose cotransporter-2 (SGLT-2) inhibitors offer new territory in realizing potential benefits in reduction of cardio-renal adverse outcomes in this population. Future studies focusing exclusively on renal outcomes in patients with HFpEF are crucial in delivering optimal therapies in this subset of patients.

Indexed as

BiomarkersCardio-Renal SyndromeCoronary CirculationDiureticsEndothelium, VascularHeart FailureHumansHypertension, PulmonaryInflammationMicrovesselsRisk FactorsStroke VolumeUltrafiltrationVentricular Dysfunction, RightBiomarkersDiureticsCardiorenal syndromeHeart failure with preserved ejection fractionKidneyWorsening renal function

Identifiers

PMID31127482
OpenAlexW2946281954

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.