Evidence map›Paper›PMID 33392884›Full record

ReviewInternational urology and nephrology2021

Pharmacologic and interventional paradigms of diuretic resistance in congestive heart failure: a narrative review.

Simge Acar, Sueda Sanli, Cinar Oztosun, Baris Afsar, Alan A Sag, Masanari Kuwabara, Adrian Covic, Alberto Ortiz, Mehmet Kanbay

Abstract readReview
PubMed Publisher
In one paragraph

Review in International urology and nephrology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
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

9 authors at 6 institutions in 5 countries.

Simge AcarDepartment of Medicine, Koc University School of Medicine, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-9757-5059
Sueda SanliDepartment of Medicine, Koc University School of Medicine, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-2737-9060
Cinar OztosunDepartment of Medicine, Koc University School of Medicine, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-3487-6137
Baris AfsarDivision of Nephrology, Department of Internal Medicine, Suleyman Demirel University School of Medicine, Isparta, Turkey.ORCID http://orcid.org/0000-0002-1369-3657
Alan A SagDivision of Vascular and Interventional Radiology, Department of Radiology, Duke University Medical Center, Durham, NC, USA.ORCID http://orcid.org/0000-0002-3106-0458
Masanari KuwabaraDepartment of Cardiology, Toranomon Hospital, Tokyo, Japan.ORCID http://orcid.org/0000-0002-4601-8164
Adrian CovicDepartment of Nephrology, Grigore T. Popa' University of Medicine, Iasi, Romania.ORCID http://orcid.org/0000-0002-9985-2486
Alberto OrtizDialysis Unit, School of Medicine, IIS-Fundacion Jimenez Diaz, Universidad Autónoma de Madrid, Avd. Reyes Católicos 2, 28040, Madrid, Spain.ORCID http://orcid.org/0000-0002-9805-9523
Mehmet KanbayDepartment of Medicine, Division of Nephrology, Koc University School of Medicine, Istanbul, 34010, Turkey. drkanbay@yahoo.com.ORCID http://orcid.org/0000-0002-1297-0675
Koç University · TRDuke Medical Center · USGrigore T. Popa University of Medicine and Pharmacy · ROSt. Luke's International Hospital · JPSüleyman Demirel University · TRUniversidad Autónoma de Madrid · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diuretic volume reduction continues to be the mainstay of congestive heart failure (CHF) management globally. However, diuretic resistance is a critical topic that lacks standardized evidence-based management guidelines accounting for mechanisms of diuretic resistance, renal function, and co-morbidities. Major healthcare utilization consequences result from this. The authors herein reconcile the definition of renal functional decline with emphasis on biomarker-driven assessment. Novel goal-directed treatment approaches are reviewed including hypertonic saline, acetazolamide, sodium-glucose transporter inhibition, sequential nephron blockade and Elabela-APJ axis targeting are reviewed, as well as percutaneous visceral splanchnic sympathectomy (converting a volume-focused to a distribution-focused paradigm).

Indexed as

DiureticsDrug ResistanceHeart FailureHumansDiureticsAcute kidney injuryDiureticHeart failureHypertonic salineHypervolemia

Identifiers

PMID33392884
OpenAlexW3118428342

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.