Evidence map›Paper›PMID 35290092›Full record

ReviewCirculation. Heart failure2022

Targeting Preload in Heart Failure: Splanchnic Nerve Blockade and Beyond.

Marat Fudim, Muhammad Shahzeb Khan, Anousheh Awais Paracha, Kenji Sunagawa, Daniel Burkhoff

Open access · bronzeAbstract readReview
In one paragraph

Review in Circulation. Heart failure, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
5.6field-weighted citation impact, top 5% 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

12 citing papers in PubMed, 19 citations in OpenAlex.

  1. Trial
  2. An integrated overview of acute heart failure: a narrative review of pathophysiological mechanisms and contributing factors.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2026
    Review
  3. Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. 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

5 authors at 4 institutions in 2 countries.

Marat FudimDivision of Cardiology, Department of Medicine, Duke University, Durham, NC (M.F., M.S.K.).ORCID 0000-0002-8671-7007
Muhammad Shahzeb KhanDivision of Cardiology, Department of Medicine, Duke University, Durham, NC (M.F., M.S.K.).ORCID 0000-0003-1250-6351
Anousheh Awais ParachaDepartment of Medicine, Dow University of Health Sciences, Karachi, Pakistan (A.A.P.).
Kenji SunagawaCirculatory System Research Foundation, Hongo, Tokyo, Japan (K.S.).
Daniel BurkhoffCardiovascular Research Foundation, NY (D.B.).ORCID 0000-0003-3995-2466
Duke University · USAdvanced Circulatory System (United States) · USCardiovascular Research Foundation · USDow University of Health Sciences · PK

Funding

Congestion Phenotypes and Splanchnic Nerve Modulation in Chronic Heart FailureK23HL151744 · NHLBI · DUKE UNIVERSITY · PI FUDIM, MARAT · 2021 to 2022
$376k
NHLBI NIH HHS K23 HL151744
6 · The paper itself

Abstract

Preload augmentation represents a critical mechanism for the cardiovascular system to increase effective circulating blood volume to increase cardiac filling pressures and, subsequently, for the heart to increase cardiac output. The splanchnic vascular compartment is the primary source of vascular capacity and thus the primary target for preload recruitment in humans. Under normal conditions, sympathetic stimulation of these primary venous vessels promotes the shift of blood from the splanchnic to the thoracic compartment and elevates preload and cardiac output. However, in heart failure, since filling pressures may be elevated at rest due to decreased venous capacitance, incremental recruitment of preload to enhance cardiac output may exacerbate congestion and limit exercise capacity. Accordingly, recent attention has focused on therapies designed to regulate splanchnic vascular redistribution to improve cardiac filling pressures and patient-centered outcomes such as quality of life and exercise capacity in patients with heart failure. In this review, we discuss the relevance of splanchnic circulation as a venous reservoir, the contribution of stressed blood volume to heart failure pathogenesis, and the implications for pharmacological therapeutic interventions to prevent heart failure decompensation. Further, we review emerging device-based approaches for cardiac preload reduction such as partial/complete occlusion of the superior vena cava or the inferior vena cava.

Indexed as

Heart FailureCardiac OutputHumansQuality of LifeSplanchnic NervesVena Cava, Superiorarteriescardiac outputheart failureliverspleen

Identifiers

PMID35290092
PMCPMC8931843
OpenAlexW4220667748

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.