Evidence map›Paper›PMID 39235709›Full record

ReviewInternal and emergency medicine2025

Integrative assessment of congestion in heart failure using ultrasound imaging.

Valerio Di Fiore, Lavinia Del Punta, Nicolò De Biase, Pierpaolo Pellicori, Luna Gargani, Frank Lloyd Dini, Silvia Armenia, Myriam Li Vigni, Davide Maremmani, Stefano Masi and 2 more

Abstract readReview
In one paragraph

Review in Internal and emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
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

15 citing papers in PubMed.

  1. Review
  2. Observational
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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

12 authors.

Valerio Di FioreDepartment of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56124, Pisa, Italy.
Lavinia Del PuntaDepartment of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56124, Pisa, Italy.
Nicolò De BiaseDepartment of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56124, Pisa, Italy.
Pierpaolo PellicoriSchool of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, G12 8QQ, UK.
Luna GarganiThoracic and Vascular Department, Azienda Ospedaliero-Universitaria Pisana, Via Paradisa 2, 56124, Pisa, Italy.
Frank Lloyd DiniIstituto Auxologico IRCCS, Centro Medico Sant'Agostino, Via Temperanza, 6, 20127, Milan, Italy.
Silvia ArmeniaDepartment of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56124, Pisa, Italy.
Myriam Li VigniDepartment of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56124, Pisa, Italy.
Davide MaremmaniDepartment of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56124, Pisa, Italy.
Stefano MasiDepartment of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56124, Pisa, Italy.
Stefano TaddeiDepartment of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56124, Pisa, Italy.
Nicola Riccardo PuglieseDepartment of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56124, Pisa, Italy. n.r.pugliese88@gmail.com.ORCID 0000-0002-5473-227X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In heart failure (HF), congestion is a key pathophysiologic hallmark and a major contributor to morbidity and mortality. However, the presence of congestion is often overlooked in both acute and chronic settings, particularly when it is not clinically evident, which can have important clinical consequences. Ultrasound (US) is a widely available, non-invasive, sensitive tool that might enable clinicians to detect and quantify the presence of (subclinical) congestion in different organs and tissues and guide therapeutic strategies. In particular, left ventricular filling pressures and pulmonary pressures can be estimated using transthoracic echocardiography; extravascular lung water accumulation can be evaluated by lung US; finally, systemic venous congestion can be assessed at the level of the inferior vena cava or internal jugular vein. The Doppler evaluation of renal, hepatic and portal venous flow can provide additional valuable information. This review aims to describe US techniques allowing multi-organ evaluation of congestion, underlining their role in detecting, monitoring, and treating volume overload more objectively.

Indexed as

Heart FailureEchocardiographyHumansUltrasonographyCongestionHeart failureUltrasound

Identifiers

PMID39235709
PMCPMC11794382

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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.