SynthesisEuropean heart journal. Acute cardiovascular care2021
The value of urinary sodium assessment in acute heart failure.
Synthesis in European heart journal. Acute cardiovascular care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07464249 (Comparison of the Effectiveness of Bolus and Infusion Diuretic Therapy in the Management of Acute Heart Failure in Emergency Departments), which is not on this map. Cited by 19 papers, 3 of them syntheses that pooled 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.
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.
Comparison of the Effectiveness of Bolus and Infusion Diuretic Therapy in the Management of Acute Heart Failure in Emergency Departments: a Randomised, Double-blind Clinical Study
Who cites it
19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 33 citations in OpenAlex.
- Urine sodium-guided diuresis in acute heart failure: a systematic review and meta-analysis of efficacy and safety.Heart failure reviews · 2025Pooled it
- Acetazolamide therapy in patients with acute heart failure: a systematic review and meta-analysis of randomized controlled trials.Heart failure reviews · 2024Pooled it
- Cardiovascular and renal effects of SGLT2 inhibitor initiation in acute heart failure: a meta-analysis of randomized controlled trials.Clinical research in cardiology : official journal of the German Cardiac Society · 2023Pooled it
- Early diuretic response and outcome prediction in ambulatory worsening heart failure: Natriuresis versus diuresis.ESC heart failure · 2025Trial
- Elevated urinary sodium thresholds in high-salt diet heart failure: implications for diuretic resistance diagnosis.Frontiers in cardiovascular medicine · 2026Article
- Clinical applications of urinary sodium in heart failure from prognostic marker to clinical tool.ESC heart failure · 2025Article
- A Tri-Component (Glomerular, Tubular, and Metabolic) Assessment of Renal Function in Acute Heart Failure.Journal of clinical medicine · 2024Article
- Contemporary Use of Sodium Glucose Co-Transporter 2 Inhibitors in Hospitalized Heart Failure Patients: A "Real-World" Experience.Journal of clinical medicine · 2024Article
- Diuretic Strategies in Acute Decompensated Heart Failure: A Narrative Review.The Canadian journal of hospital pharmacy · 2024Review
- Spot urinary sodium as a prognostic marker for mortality in patients with acute decompensated heart failureBiomedica : revista del Instituto Nacional de Salud · 2023Article
- The Prognostic Role of Spot Urinary Sodium and Chloride in a Cohort of Hospitalized Advanced Heart Failure Patients: A Pilot Study.Life (Basel, Switzerland) · 2023Article
- PoCUS in nephrology: a new tool to improve our diagnostic skills.Clinical kidney journal · 2023Review
- The year in cardiovascular medicine 2021: heart failure and cardiomyopathies.European heart journal · 2022Article
- Dose of furosemide before admission predicts diuretic efficiency and long-term prognosis in acute heart failure.ESC heart failure · 2022Observational
- Multimodal Strategies for the Diagnosis and Management of Refractory Congestion. An Integrated Cardiorenal Approach.Frontiers in physiology · 2022Review
- Rationale and Design of the Efficacy of a Standardized Diuretic Protocol in Acute Heart Failure Study.ESC heart failure · 2021Article
- Spot urine sodium in acute heart failure: differences in prognostic value on admission and discharge.ESC heart failure · 2021Article
- Acute heart failure in elderly patients: a review of invasive and non-invasive management.Journal of geriatric cardiology : JGC · 2021Article
- Patient Selection and End Point Definitions for Decongestion Studies in Acute Decompensated Heart Failure: Part 1.Journal of the Society for Cardiovascular Angiography & InterventionsReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Acute heart failure (AHF) is a frequent medical condition that needs immediate evaluation and appropriate treatment. Patients with signs and symptoms of volume overload mostly require intravenous loop diuretics in the first hours of hospitalization. Some patients may develop diuretic resistance, resulting in insufficient and delayed decongestion, with increased mortality and morbidity. Urinary sodium measurement at baseline and/or during treatment has been proposed as a useful parameter to tailor diuretic therapy in these patients. This systematic review discusses the current sum of evidence regarding urinary sodium assessment to evaluate diuretic efficacy in AHF. We searched Medline, Embase, and Cochrane Clinical Trials Register for published studies that tested urinary sodium assessment in patients with AHF.
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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.