Evidence map›Paper›PMID 31738714›Full record

ReviewThe western journal of emergency medicine2019

Diagnosis of Acute Heart Failure in the Emergency Department: An Evidence-Based Review.

Brit Long, Alex Koyfman, Michael Gottlieb

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in The western journal of emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06624293 (Access BNP Assay Clinical Subject Sample Collection Enrollment Study Protocol), which is not on this map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 6% 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.

NCT06624293 completednot on this mapstarted 2024, after this paper: background citation

Access BNP Assay Clinical Subject Sample Collection Enrollment Study Protocol

TypeobservationalSponsorBeckman Coulter, Inc.Ran2024 to 2025Enrolled1,100ConditionsHeart FailureArmsBNP
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

  1. Pooled it
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  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Right ventricular function in pulmonary hypertension and obesity: a cross-sectional cohort study with survival follow-up.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
    Article
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  13. Review
  14. Article
  15. A Genetic Test to Identify People at High Risk of Heart Failure.International journal of molecular sciences · 2025
    Article
  16. Article
  17. Article
  18. Review
  19. Article
  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

3 authors at 2 institutions in 1 country.

Brit LongBrooke Army Medical Center, Department of Emergency Medicine, Fort Sam Houston, Texas.
Alex KoyfmanUniversity of Texas Southwestern Medical Center, Department of Emergency Medicine, Dallas, Texas.
Michael GottliebRush University Medical Center, Department of Emergency Medicine, Chicago, Illinois.
San Antonio Military Medical Center · USRush University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Heart failure is a common presentation to the emergency department (ED), which can be confused with other clinical conditions. This review provides an evidence-based summary of the current ED evaluation of heart failure. Acute heart failure is the gradual or rapid decompensation of heart failure, resulting from either fluid overload or maldistribution. Typical symptoms can include dyspnea, orthopnea, or systemic edema. The physical examination may reveal pulmonary rales, an S3 heart sound, or extremity edema. However, physical examination findings are often not sensitive or specific. ED assessments may include electrocardiogram, complete blood count, basic metabolic profile, liver function tests, troponin, brain natriuretic peptide, and a chest radiograph. While often used, natriuretic peptides do not significantly change ED treatment, mortality, or readmission rates, although they may decrease hospital length of stay and total cost. Chest radiograph findings are not definitive, and several other conditions may mimic radiograph findings. A more reliable modality is point-of-care ultrasound, which can facilitate the diagnosis by assessing for B-lines, cardiac function, and inferior vena cava size. These modalities, combined with clinical assessment and gestalt, are recommended.

Indexed as

Emergency Service, HospitalAcute DiseaseDiagnosis, DifferentialEvidence-Based MedicineHeart FailureHumansPractice Guidelines as Topic

Identifiers

PMID31738714
PMCPMC6860389
OpenAlexW2989309724

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.