Evidence map›Paper›PMID 35014074›Full record

ArticleClinical cardiology2022

Proteomic differences among patients with heart failure taking furosemide or torsemide.

Lauren B Cooper, Scott Bruce, Mitchell Psotka, Robert Mentz, Rachel Bell, Stephen L Seliger, Christopher O'Connor, Christopher deFilippi

Open access · goldAbstract read
In one paragraph

Article in Clinical cardiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

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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

8 authors at 4 institutions in 1 country.

Lauren B CooperDepartment of Cardiology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, New York, USA.ORCID https://orcid.org/0000-0001-7980-333X
Scott BruceDepartment of Statistics, Volgenau School of Engineering, George Mason University, Fairfax, Virginia, USA.
Mitchell PsotkaInova Heart & Vascular Institute, Inova Fairfax Hospital, Falls Church, Virginia, USA.
Robert MentzDepartment of Medicine, Duke University School of Medicine, Durham, North Carolina, USA.
Rachel BellInova Heart & Vascular Institute, Inova Fairfax Hospital, Falls Church, Virginia, USA.
Stephen L SeligerDepartment of Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Christopher O'ConnorInova Heart & Vascular Institute, Inova Fairfax Hospital, Falls Church, Virginia, USA.
Christopher deFilippiInova Heart & Vascular Institute, Inova Fairfax Hospital, Falls Church, Virginia, USA.
Inova Fairfax Hospital · USDuke University · USGeorge Mason University · USUniversity of Maryland, Baltimore · US

Funding

The optimal loop diuretic: mechanistic insights from longitudinal changes in blood and urine proteins to explain efficacy and safety of torsemide vs furosemide after a heart failure hospitalizationR01HL154768 · NHLBI · INOVA HEALTH CARE SERVICES · PI COOPER, LAUREN BETH, DEFILIPPI, CHRISTOPHER R · 2020 to 2023
$1.6M
NHLBI NIH HHS R01 HL154768NHLBI NIH HHS R01HL154768-01
6 · The paper itself

Abstract

backgroundLoop diuretics are commonly used for patients with heart failure (HF) but it remains unknown if one loop diuretic is clinically superior. HYPOTHESIS: Biomarkers and proteomics provide insight to how different loop diuretics may differentially affect outcomes.

methodsBlood and urine were collected from outpatients with HF who were taking torsemide or furosemide for >30 days. Differences were assessed in cardiac, renal, and inflammatory biomarkers and soluble protein panels using the Olink Cardiovascular III and inflammation panels.

resultsOf 78 subjects, 55 (71%) were treated with furosemide and 23 (29%) with torsemide, and 25 provided a urine sample (15 treated with furosemide, 10 with torsemide). Patients taking torsemide were older (68 vs 64 years) with a lower mean eGFR (46 vs 54 ml/min/1.73 m

conclusionsWe show differences in urinary biomarkers but few differences in plasma biomarkers among HF patients on different loop diuretics. Olink technology can detect differences in plasma protein levels from multiple biologic domains. These findings raise the importance of defining differences in mechanisms of action of each diuretic in an appropriately powered study.

Indexed as

FurosemideHeart FailureDiureticsFemaleHumansProteomicsTorsemideDiureticsFurosemideTorsemidebiomarkersheart failureproteomics

Identifiers

PMID35014074
PMCPMC8922525
OpenAlexW4205423069

What OpenQuestion holds

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Registered trials

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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.