Evidence map›Paper›PMID 31909470›Full record

Trial reportCardiology journal2019

Comparative effectiveness of torasemide versus furosemide in symptomatic therapy in heart failure patients: Preliminary results from the randomized TORNADO trial.

Paweł Balsam, Krzysztof Ozierański, Michał Marchel, Monika Gawałko, Łukasz Niedziela, Agata Tymińska, Bartosz Sieradzki, Maciej Sieradzki, Anna Fojt, Elwira Bakuła and 10 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IVComparative StudyMulticenter Study
In one paragraph

Trial report in Cardiology journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01942109 (The Impact of TORasemide oN hemodynAmic and Neurohormonal Stress, and carDiac remOdeling in Heart Failure - Prospective, Randomized, Open, Blinded Endpoint Trial), which is not on this map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 13% 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.

NCT01942109 phase4unknown statusnot on this map

The Impact of TORasemide oN hemodynAmic and Neurohormonal Stress, and carDiac remOdeling in Heart Failure - Prospective, Randomized, Open, Blinded Endpoint Trial

TypeinterventionalSponsorMedical University of WarsawRan2013 to 2018Enrolled100ConditionsHeart FailureArmsFurosemide, Torasemide
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
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  6. Door-to-Diuretic Time and Outcomes in Acute Heart Failure: A Scoping Review.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2025
    Article
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  8. Article
  9. Review
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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

20 authors at 2 institutions in 1 country.

Paweł BalsamI Katedra i Klinika Kardiologii, Poland.
Krzysztof OzierańskiI Katedra i Klinika Kardiologii, Poland.
Michał MarchelI Katedra i Klinika Kardiologii, Poland. michal.marchel@wum.edu.pl.
Monika GawałkoI Katedra i Klinika Kardiologii, Poland.
Łukasz NiedzielaI Katedra i Klinika Kardiologii, Poland.
Agata TymińskaI Katedra i Klinika Kardiologii, Poland.
Bartosz SieradzkiI Katedra i Klinika Kardiologii, Poland.
Maciej SieradzkiI Katedra i Klinika Kardiologii, Poland.
Anna FojtI Katedra i Klinika Kardiologii, Poland.
Elwira BakułaCardiology Unit, John Paul II Western Hospital, ul. Daleka 11, 05-825 Grodzisk Mazowiecki, Poland.
Renata GłówczyńskaI Katedra i Klinika Kardiologii, Poland.
Michał PellerI Katedra i Klinika Kardiologii, Poland.
Maciej MarkulisI Katedra i Klinika Kardiologii, Poland.
Janusz BednarskiCardiology Unit, John Paul II Western Hospital, ul. Daleka 11, 05-825 Grodzisk Mazowiecki, Poland.
Robert KowalikI Katedra i Klinika Kardiologii, Poland.
Andrzej CackoI Katedra i Klinika Kardiologii, Poland.
Grzegorz NiewińskiDepartment of Anesthesiology and Intensive Care, Medical University of Warsaw, Banacha 1A, 02-677 Warsaw, Poland.
Krzysztof J FilipiakI Katedra i Klinika Kardiologii, Poland.
Grzegorz OpolskiI Katedra i Klinika Kardiologii, Poland.
Marcin GrabowskiI Katedra i Klinika Kardiologii, Poland.
John Paul II Hospital · PLMedical University of Warsaw · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent reports suggest that torasemide might be more beneficial than furosemide in patients with symptomatic heart failure (HF). The aim was to compare the effects of torasemide and furosemide on clinical outcomes in HF patients.

methodsThis study pilot consisted of data from the ongoing multicenter, randomized, unblinded endpoint phase IV TORNADO (NCT01942109) study. HF patients in New York Heart Association (NYHA) II-IV class with a stable dose of furosemide were randomized to treatment with equipotential dose of torasemide (4:1) or continuation of unchanged dose of furosemide. On enrollment and control visit (3 months after enrollment) clinical examination, 6-minute walk test (6MWT) and assessment of fluid retention by ZOE Fluid Status Monitor were performed. The primary endpoint was a composite of improvement of NYHA class, improvement of at least 50 m during 6MWT and decrease in fluid retention of at least 0.5 W after 3-months follow-up.

resultsThe study group included 40 patients (median age 66 years; 77.5% male). During follow-up 7 patients were hospitalized for HF worsening (3 in torasemide and 4 in furosemide-treated patients). The primary endpoint reached 15 (94%) and 14 (58%) patients on torasemide and furosemide, respectively (p = 0.03).

conclusionsIn HF patients treated with torasemide fluid overload and symptoms improved more than in the furosemide group. This positive effect occurred already within 3-month observation.

Indexed as

AgedComparative Effectiveness ResearchExercise ToleranceFemaleFurosemideHeart FailureHumansMalePilot ProjectsPolandPreliminary DataRecovery of FunctionSodium Potassium Chloride Symporter InhibitorsTime FactorsTorsemideTreatment OutcomeFurosemideSodium Potassium Chloride Symporter InhibitorsTorsemideheart failurehospitalizationloop diureticsprognosissymptoms

Identifiers

PMID31909470
PMCPMC8083045
OpenAlexW2997960077

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.