Evidence map›Paper›PMID 34676782›Full record

Observational studyAmerican journal of physiology. Heart and circulatory physiology2021

Blood volume expansion, normovolemia, and clinical outcomes in chronic human heart failure: more is better.

Wayne L Miller, John E Strobeck, Diane E Grill, Brian P Mullan

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in American journal of physiology. Heart and circulatory physiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.7field-weighted citation impact, top 14% 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

9 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Fluid Volume Homeostasis in Heart Failure: A Tale of 2 Circulations.Journal of the American Heart Association · 2022
    Review
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

4 authors at 2 institutions in 1 country.

Wayne L MillerDepartment of Cardiovascular Medicine, Heart-Lung Center, Hawthorne, New Jersey.ORCID 0000-0002-0863-9509
John E StrobeckHeart-Lung Center, Hawthorne, New Jersey.
Diane E GrillDepartment of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, Minnesota.
Brian P MullanDivision of Diagnostic Radiology, Mayo Clinic, Rochester, Minnesota.
Lung Institute · USMayo Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Expansion in blood volume (BV) is a well-recognized response to arterial underfilling secondary to impaired cardiac output in heart failure (HF). However, the effectiveness of this response in terms of outcomes remains inadequately understood. Prospective analysis was undertaken in 110 patients with HF hospitalized and treated for fluid overload. BVs were measured in a compensated state at the hospital discharge using the indicator-dilution methodology. Data were analyzed for composite 1-year HF-related mortality/first rehospitalization. Despite uniform standard of care, marked heterogeneity in BVs was identified across the cohort. The cohort was stratified by BV expansion greater than or equal to +25% above normal (51% of cohort), mild-moderate expansion (22%), and normal BV (27%). Kaplan-Meier (K-M) survival estimates and regression analyses revealed BV expansion (greater than or equal to +25%) to be associated with better event-free survival relative to normal BV (

Indexed as

Blood VolumeHemodynamicsAgedAged, 80 and overBlood Volume DeterminationChronic DiseaseDiureticsFemaleHeart FailureHematocritHumansMaleMiddle AgedPolycythemiaProgression-Free SurvivalProspective StudiesDiureticsblood volume expansionchronic heart failureoutcomesplasma volumeRBC mass

Identifiers

PMID34676782
PMCPMC9095049
OpenAlexW3207811392

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.