Evidence map›Paper›PMID 37192290›Full record

ArticleCirculation. Heart failure2023

Pulmonary Artery Pressure-Guided Heart Failure Management Reduces Hospitalizations in Patients With Chronic Kidney Disease.

Nirav Y Raval, Ali Valika, Philip B Adamson, Christopher Williams, Marie-Elena Brett, Maria Rosa Costanzo

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in Circulation. Heart failure, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.9field-weighted citation impact, top 8% 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

6 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
  2. Review
  3. Remote Measurement of Volume Status in Heart Failure.Journal of the American Society of Nephrology : JASN · 2025
    Review
  4. Review
  5. Article
  6. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 6 institutions in 2 countries.

Nirav Y RavalAdvent Health, Orlando, FL (N.Y.R.).ORCID 0000-0002-8204-9486
Ali ValikaAdvocate Good Samaritan Hospital, Downers Grove, IL (A.V.).ORCID 0000-0002-5923-814X
Philip B AdamsonAbbott, Austin, TX (P.B.A.).ORCID 0000-0002-8974-9004
Christopher WilliamsAbbott, Santa Clara, CA (C.W.).ORCID 0000-0003-3893-3124
Marie-Elena BrettAbbott, Burlington, MA (M.-E.B.) .ORCID 0000-0001-5545-7209
Maria Rosa CostanzoMidwest Cardiovascular Institute, Naperville, IL (M.R.C.).ORCID 0000-0001-6995-7538
Abbott Fund · USAbbott (United Kingdom) · GBAdventHealth Orlando · USAdvocate Good Samaritan Hospital · USBurlington College · USMRIGlobal · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHemodynamic-guided heart failure management is a superior strategy to prevent decompensation leading to hospitalization compared with traditional clinical methods. It remains unstudied if hemodynamic-guided care is effective across severities of comorbid renal insufficiency or if this strategy impacts renal function over time.

methodsIn the CardioMEMS US PAS (Post-Approval Study), heart failure hospitalizations were compared from 1 year before and after pulmonary artery sensor implantation in 1200 patients with New York Heart Association class III symptoms and a previous hospitalization. Hospitalization rates were evaluated in all patients grouped into baseline estimated glomerular filtration rate (eGFR) quartiles. Chronic kidney disease progression was evaluated in patients with renal function follow-up data (n=911).

resultsPatients with stage 2 or greater chronic kidney disease at baseline exceeded 80%. Heart failure hospitalization risk was lower in all eGFR quartiles ranging from a hazard ratio of 0.35 (0.27-0.46;

conclusionsHemodynamic-guided heart failure management using remotely obtained pulmonary artery pressures is associated with lower hospitalization rates and general preservation of renal function in all eGFR quartiles or chronic kidney disease stages.

Indexed as

Heart FailureRenal Insufficiency, ChronicGlomerular Filtration RateHospitalizationHumansPulmonary Arterydiureticsheart failurehemodynamicshospitalizationrenal insufficiency

Identifiers

PMID37192290
PMCPMC10179985
OpenAlexW4376638110

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.