Evidence map›Paper›PMID 33886137›Full record

ReviewEuropean journal of heart failure2021

Splanchnic nerve modulation in heart failure: mechanistic overview, initial clinical experience, and safety considerations.

Marat Fudim, Piotr P Ponikowski, Daniel Burkhoff, Mark E Dunlap, Paul A Sobotka, Jeroen Molinger, Manesh R Patel, G Michael Felker, Adrian F Hernandez, Sheldon E Litwin and 6 more

Open access · hybridAbstract readReview
In one paragraph

Review in European journal of heart failure, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
6.9field-weighted citation impact, top 2% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Heart Failure: a Punch from the Gut.Current heart failure reports · 2024
    Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Review
  16. Review
  17. Review
  18. Review
  19. Review
  20. Novel Therapeutic Devices in Heart Failure.Journal of clinical medicine · 2022
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 1 institution in 1 country.

Marat FudimDuke University Hospital, Durham, NC, USA.
Piotr P PonikowskiDuke University Hospital, Durham, NC, USA.
Daniel BurkhoffDuke University Hospital, Durham, NC, USA.
Mark E DunlapDuke University Hospital, Durham, NC, USA.
Paul A SobotkaDuke University Hospital, Durham, NC, USA.
Jeroen MolingerDuke University Hospital, Durham, NC, USA.
Manesh R PatelDuke University Hospital, Durham, NC, USA.
G Michael FelkerDuke University Hospital, Durham, NC, USA.
Adrian F HernandezDuke University Hospital, Durham, NC, USA.
Sheldon E LitwinDuke University Hospital, Durham, NC, USA.
Barry A BorlaugDuke University Hospital, Durham, NC, USA.
Anisha BapnaDuke University Hospital, Durham, NC, USA.
Horst SievertDuke University Hospital, Durham, NC, USA.
Vivek Y ReddyDuke University Hospital, Durham, NC, USA.
Zoar J EngelmanDuke University Hospital, Durham, NC, USA.
Sanjiv J ShahDuke University Hospital, Durham, NC, USA.
Duke University Hospital · US

Funding

MULTIDISCIPLINARY HEART &VASCULAR DISEASEST32HL007101 · NHLBI · DUKE UNIVERSITY · PI FREEDMAN, NEIL J. · 1985 to 2020
$9.8M
Congestion Phenotypes and Splanchnic Nerve Modulation in Chronic Heart FailureK23HL151744 · NHLBI · DUKE UNIVERSITY · PI FUDIM, MARAT · 2021 to 2022
$376k
NHLBI NIH HHS K23 HL151744NHLBI NIH HHS T32 HL007101
6 · The paper itself

Abstract

Volume recruitment from the splanchnic compartment is an important physiological response to stressors such as physical activity and blood loss. In the setting of heart failure (HF), excess fluid redistribution from this compartment leads to increased cardiac filling pressures with limitation in exercise capacity. Recent evidence suggests that blocking neural activity of the greater splanchnic nerve (GSN) could have significant benefits in some patients with HF by reducing cardiac filling pressures and improving exercise capacity. However, to date the long-term safety of splanchnic nerve modulation (SNM) in the setting of HF is unknown. SNM is currently used in clinical practice to alleviate some forms of chronic abdominal pain. A systematic review of the series where permanent SNM was used as a treatment for chronic abdominal pain indicates that permanent SNM is well tolerated, with side-effects limited to transient diarrhoea or abdominal colic and transient hypotension. The pathophysiological role of the GSN in volume redistribution, the encouraging findings of acute and chronic pilot SNM studies and the safety profile from permanent SNM for pain provides a strong basis for continued efforts to study this therapeutic target in HF.

Indexed as

Heart FailureHypotensionExerciseHumansSplanchnic NervesAdverse effectsSplanchnic vasoconstrictionSympathetic nervous system

Identifiers

PMID33886137
PMCPMC8298285
OpenAlexW3156635458

What OpenQuestion holds

Textmetadata
LicenceTDM
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.