Evidence map›Paper›PMID 37887077›Full record

ReviewAdvances in respiratory medicine2023

Cardiogenic Pulmonary Edema in Emergency Medicine.

Christian Zanza, Francesco Saglietti, Manfredi Tesauro, Yaroslava Longhitano, Gabriele Savioli, Mario Giosuè Balzanelli, Tatsiana Romenskaya, Luigi Cofone, Ivano Pindinello, Giulia Racca and 1 more

Open access · goldAbstract readReview
In one paragraph

Review in Advances in respiratory medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
19.1field-weighted citation impact, top 1% 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

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. High Altitude Pulmonary Edema Response to Continuous Airway Positive Pressure: A Randomized Controlled Trial: The HAPER CAPER Trial.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025
    Trial
  4. Ultrasonographic Assessment of the Lungs in Asiatic Elephants (Elephas maximus).Veterinary radiology & ultrasound : the official journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association · 2026
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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

11 authors at 5 institutions in 2 countries.

Christian ZanzaPost Graduate School of Geriatric Medicine, University of Rome "Tor Vergata", 00133 Rome, Italy.
Francesco SagliettiDepartment of Emergency and Critical Care, Santa Croce and Carle Hospital, 12100 Cuneo, Italy.ORCID 0000-0002-8767-6577
Manfredi TesauroPost Graduate School of Geriatric Medicine, University of Rome "Tor Vergata", 00133 Rome, Italy.
Yaroslava LonghitanoDepartment of Anesthesiology and Perioperative Medicine, University of Pittsburgh, Pittsburgh, PA 15261, USA.ORCID 0000-0001-8831-1361
Gabriele SavioliEmergency Department, IRCCS Fondazione Policlinico San Matteo, 27100 Pavia, Italy.ORCID 0000-0002-8679-5435
Mario Giosuè BalzanelliItalian Society of Prehospital Emergency Medicine (SIS 118), 74121 Taranto, Italy.
Tatsiana RomenskayaDepartment of Physiology and Pharmacology, Sapienza University of Rome, 00185 Rome, Italy.
Luigi CofoneDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy.ORCID 0000-0003-3120-6178
Ivano PindinelloDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy.ORCID 0000-0002-8004-5537
Giulia RaccaDivision of Anesthesia and Critical Care Medicine, AO Ordine Mauriziano, 10128 Turin, Italy.
Fabrizio RaccaDivision of Anesthesia and Critical Care Medicine, AO Ordine Mauriziano, 10128 Turin, Italy.
Sapienza University of Rome · ITA. O. Ordine Mauriziano di Torino · ITUniversity of Rome Tor Vergata · ITHumanitas University · ITPoliclinico San Matteo Fondazione · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiogenic pulmonary edema (CPE) is characterized by the development of acute respiratory failure associated with the accumulation of fluid in the lung's alveolar spaces due to an elevated cardiac filling pressure. All cardiac diseases, characterized by an increasing pressure in the left side of the heart, can cause CPE. High capillary pressure for an extended period can also cause barrier disruption, which implies increased permeability and fluid transfer into the alveoli, leading to edema and atelectasis. The breakdown of the alveolar-epithelial barrier is a consequence of multiple factors that include dysregulated inflammation, intense leukocyte infiltration, activation of procoagulant processes, cell death, and mechanical stretch. Reactive oxygen and nitrogen species (RONS) can modify or damage ion channels, such as epithelial sodium channels, which alters fluid balance. Some studies claim that these patients may have higher levels of surfactant protein B in the bloodstream. The correct approach to patients with CPE should include a detailed medical history and a physical examination to evaluate signs and symptoms of CPE as well as potential causes. Second-level diagnostic tests, such as pulmonary ultrasound, natriuretic peptide level, chest radiograph, and echocardiogram, should occur in the meantime. The identification of the specific CPE phenotype is essential to set the most appropriate therapy for these patients. Non-invasive ventilation (NIV) should be considered early in the treatment of this disease. Diuretics and vasodilators are used for pulmonary congestion. Hypoperfusion requires treatment with inotropes and occasionally vasopressors. Patients with persistent symptoms and diuretic resistance might benefit from additional approaches (i.e., beta-agonists and pentoxifylline). This paper reviews the pathophysiology, clinical presentation, and management of CPE.

Indexed as

Emergency MedicineHeart FailurePulmonary EdemaHumansLungOxygenVasodilator AgentsOxygenVasodilator Agentscapillary permeabilitycardiogenic pulmonary edemanon-invasive ventilationpulmonary surfactant-associated protein B

Identifiers

PMID37887077
PMCPMC10604083
OpenAlexW4387618117

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.