Evidence map›Paper›PMID 38363523›Full record

ArticleInternal and emergency medicine2024

Diaphragmatic ultrasound evaluation in acute heart failure: clinical and functional associations.

Simone Scarlata, Evelyn Di Matteo, Panaiotis Finamore, Giuseppe Perri, Damiana Mancini, Luigi Sogaro, Tommaso Grandi, Elisa Brando, Francesco Travaglino, Federica Sambuco and 1 more

Abstract read
PubMed Publisher
In one paragraph

Article in Internal and emergency medicine, 2024. 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
3.4field-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

9 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Review
  6. Review
  7. Observational
  8. Article
  9. 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

11 authors at 3 institutions in 1 country.

Simone ScarlataUnit of Internal Medicine, Fondazione Policlinico Universitario Campus Bio-Medico di Roma, Via Alvaro del Portillo, 200-00128, Rome, Italy. s.scarlata@policlinicocampus.it.ORCID 0000-0002-2704-2708
Evelyn Di MatteoUnit of Internal Medicine, Fondazione Policlinico Universitario Campus Bio-Medico di Roma, Via Alvaro del Portillo, 200-00128, Rome, Italy.
Panaiotis FinamoreUnit of Internal Medicine, Fondazione Policlinico Universitario Campus Bio-Medico di Roma, Via Alvaro del Portillo, 200-00128, Rome, Italy.
Giuseppe PerriGeriatrics Unit, Ospedale Santa Maria della Scaletta, Imola, BO, Italy.
Damiana ManciniAmaltea Private Practice, Rome, Italy.
Luigi SogaroUnit of Internal Medicine, Fondazione Policlinico Universitario Campus Bio-Medico di Roma, Via Alvaro del Portillo, 200-00128, Rome, Italy.
Tommaso GrandiUnit of Emergency and Critical Care Medicine, Fondazione Policlinico Universitario Campus Bio-Medico di Roma, Rome, Italy.
Elisa BrandoUnit of Internal Medicine, Fondazione Policlinico Universitario Campus Bio-Medico di Roma, Via Alvaro del Portillo, 200-00128, Rome, Italy.
Francesco TravaglinoUnit of Emergency and Critical Care Medicine, Fondazione Policlinico Universitario Campus Bio-Medico di Roma, Rome, Italy.
Federica SambucoUnit of Emergency and Critical Care Medicine, Fondazione Policlinico Universitario Campus Bio-Medico di Roma, Rome, Italy.
Raffaele Antonelli IncalziUnit of Internal Medicine, Fondazione Policlinico Universitario Campus Bio-Medico di Roma, Via Alvaro del Portillo, 200-00128, Rome, Italy.
Campus Bio Medico University Hospital · ITUniversità Campus Bio-Medico · ITOspedale Santa Maria · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Heart failure patients often experience respiratory symptoms due to diaphragmatic involvement, but the diaphragmatic motion in heart failure remains understudied. This research aimed to investigate the correlation between ultrasonographically assessed diaphragmatic motion and thickness with cardiac performance indexes in an emergency setting. Seventy-two acutely decompensated heart failure patients and 100 non-heart failure individuals were enrolled. Diaphragmatic motion and thickness were assessed via ultrasound. Cardiac and respiratory parameters were recorded, and regression analysis was performed. Heart failure patients exhibited reduced diaphragmatic motion at total lung capacity compared to controls, and an inverse association was found between motion and heart failure severity (NYHA stage). Diaphragmatic thickness was also higher in heart failure patients at tidal volume and total lung capacity. Notably, diaphragmatic motion inversely correlated with systolic pulmonary artery pressure. The study highlights diaphragmatic dysfunction in acutely decompensated heart failure, with reduced motion and increased thickness. These changes were associated with cardio-respiratory parameters, specifically systolic pulmonary artery pressure. Monitoring diaphragmatic motion via ultrasound may aid in evaluating heart failure severity and prognosis in emergency settings. Additionally, interventions targeting diaphragmatic function could improve heart failure management. Further research is warranted to enhance heart failure management and patient outcomes.

Indexed as

DiaphragmHeart FailureUltrasonographyAgedFemaleHumansMaleMiddle AgedDiaphragm ultrasoundEmergencyHeart failureNYHA

Identifiers

PMID38363523
OpenAlexW4391883506

What OpenQuestion holds

Textmetadata
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.