Evidence map›Paper›PMID 31769114›Full record

ArticleJournal of veterinary internal medicine2020

Role of electrolyte concentrations and renin-angiotensin-aldosterone activation in the staging of canine heart disease.

Darcy Adin, Kari Kurtz, Clarke Atkins, Mark G Papich, Shelly Vaden

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Journal of veterinary internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

28 citing papers in PubMed, 36 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Darcy AdinCollege of Veterinary Medicine, University of Florida, Gainesville, Florida.ORCID https://orcid.org/0000-0003-0972-0365
Kari KurtzCollege of Veterinary Medicine, North Carolina State University, Raleigh, North Carolina.
Clarke AtkinsCollege of Veterinary Medicine, North Carolina State University, Raleigh, North Carolina.
Mark G PapichCollege of Veterinary Medicine, North Carolina State University, Raleigh, North Carolina.ORCID https://orcid.org/0000-0002-7591-7898
Shelly VadenCollege of Veterinary Medicine, North Carolina State University, Raleigh, North Carolina.ORCID https://orcid.org/0000-0003-4402-7830
North Carolina State University · USUniversity of Florida · US

Funding

American Kennel Club Canine Health Foundation 02456University of Florida Open Access Publishing Fund
6 · The paper itself

Abstract

backgroundRefractory congestive heart failure (CHF) and associated diuretic resistance are not well defined.

objectivesTo characterize renal function, electrolyte concentrations, indices of diuretic efficacy, and renin-angiotensin-aldosterone system (RAAS) activation in dogs with naturally occurring heart disease (HD) in American College of Veterinary Internal Medicine stages B1, B2, C, and D and to determine their usefulness in defining HD stages. ANIMALS: Group 1:149 dogs with HD stages B1, B2, C, and D. Group 2:22 dogs with HD stages C and D.

methodsGroup 1: Renal parameters, serum and urine electrolyte and diuretic concentrations, and urine aldosterone concentrations were measured. Medication dosages and measured variables were compared among stages. Correlation of furosemide dosages to serum concentrations was explored. Group 2: Angiotensin-converting enzyme activity and RAAS components were measured and compared among CHF stages.

resultsSerum chloride concentration was the best differentiator of HD stage. Furosemide PO dosages (≤6 mg/kg/day) were weakly correlated with serum furosemide concentrations, whereas higher dosages were not significantly correlated. Angiotensin-converting enzyme inhibitor dosage and RAAS inhibition were greater in stage D, compared to stage C dogs. CONCLUSIONS AND CLINICAL IMPORTANCE: Hypochloremia is a useful marker for stage D HD in dogs. Poor furosemide dosage correlation to serum concentration may indicate variable and poor absorption, especially at higher dosages, advanced disease, or both. A small number of stage D dogs met proposed criteria for diuretic resistance. Greater RAAS inhibition in stage D versus stage C indicates effectiveness of RAAS-suppressive treatments in this group of dogs with refractory CHF.

Indexed as

Angiotensin-Converting Enzyme InhibitorsAnimalsDiureticsDog DiseasesDogsElectrolytesHeart DiseasesKidney Function TestsPyridazinesRenin-Angiotensin SystemSpironolactoneAngiotensin-Converting Enzyme InhibitorsDiureticsElectrolytespimobendanPyridazinesSpironolactoneACVIMcongestive heart failurediureticrefractory

Identifiers

PMID31769114
PMCPMC6979094
OpenAlexW2991478647

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.