Evidence map›Paper›PMID 40152188›Full record

Trial reportESC heart failure2025

Early diuretic response and outcome prediction in ambulatory worsening heart failure: Natriuresis versus diuresis.

M Cobo Marcos, R de la Espriella, I Zegri-Reiriz, P Llacer, J Rubio Gracia, J Comín-Colet, J L Morales-Rull, P Diez-Villanueva, J de Juan Bagudá, S Jiménez-Marrero and 6 more

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in ESC heart failure, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

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

16 authors.

M Cobo MarcosDepartment of Cardiology, Hospital Universitario Puerta de Hierro, Madrid, Spain.
R de la EspriellaDepartment of Cardiology, Hospital Clínico Universitario de Valencia (INCLIVA), University of Valencia, Valencia, Spain.
I Zegri-ReirizDepartment of Cardiology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
P LlacerDepartment of Internal Medicine, Hospital Universitario Ramón y Cajal, IRYCIS, Madrid, Spain.
J Rubio GraciaDepartment of Internal Medicine, Hospital Universitario Lozano Blesa, University of Zaragoza, Aragon Health Research Institute (IIS Aragon), Zaragoza, Spain.
J Comín-ColetCentro de Investigación Biomédica en Red (CIBER Cardiovascular), Madrid, Spain.
J L Morales-RullDepartment of Internal Medicine, Hospital Universitario Arnau de Vilanova, Heart Failure Unit, Lleida Health Region, Institut de Recerca Biomèdica de Lleida (IRBLleida), Lleida, Spain.
P Diez-VillanuevaDepartment of Cardiology, Hospital Universitario de la Princesa, Madrid, Spain.
J de Juan BagudáCentro de Investigación Biomédica en Red (CIBER Cardiovascular), Madrid, Spain.
S Jiménez-MarreroCentro de Investigación Biomédica en Red (CIBER Cardiovascular), Madrid, Spain.
C Ortiz CortésDepartment of Cardiology, Hospital Universitario San Pedro de Alcántara, Cáceres, Spain.
M A Restrepo-CórdobaDepartment of Cardiology, Hospital Universitario Clínico San Carlos, Madrid, Spain.
J M García-PinillaDepartment of Cardiology, Hospital Universitario Virgen de la Victoria, Málaga, Spain.
E BarriosDepartment of Cardiology, Hospital Universitario Rey Juan Carlos Móstoles, Madrid, Spain.
S Del Prado DíazCentro de Investigación Biomédica en Red (CIBER Cardiovascular), Madrid, Spain.
J NúñezCentro de Investigación Biomédica en Red (CIBER Cardiovascular), Madrid, Spain.

Funding

CIBER CV (Madrid, Spain) 16/11/00420CIBER CV (Madrid, Spain) 16/11/00432Instituto de Salud Carlos III PI20/00689
6 · The paper itself

Abstract

aimsEarly diuresis and natriuresis are commonly used to assess the efficacy of decongestive therapy following an acute heart failure episode. There is limited knowledge regarding which parameter better predicts adverse clinical outcomes, especially in the outpatient setting. This study investigated the prognostic value of both metrics in predicting 30-day adverse clinical events in an ambulatory worsening heart failure (WHF) scenario. METHODS AND

resultsThis is a post-hoc analysis of the SALT-HF trial involving 167 patients with ambulatory WHF randomized to receive intravenous furosemide with or without hypertonic saline solution. Early diuretic response was assessed through 3-h urine output and 3-h urinary sodium (uNa

resultsThe median age of participants was 81 years, predominantly male (69.5%). Patients with lower 3-h urinary sodium and diuresis were older and exhibited reduced kidney function and haemoglobin levels. At 30 days, 50 (29.9%) of the sample experienced the composite endpoint. Multivariate analyses revealed that lower 3-h uNa

conclusionsIn patients with ambulatory WHF treated with IV furosemide, 3-h urinary sodium predicted 30-day outcomes whereas 3-h diuresis did not.

Indexed as

DiuresisFurosemideHeart FailureNatriuresisAgedAged, 80 and overDisease ProgressionDiureticsFemaleFollow-Up StudiesHumansInfusions, IntravenousMalePrognosisSodiumTime FactorsDiureticsFurosemideSodiumAmbulatory worsening heart failureDiuresisNatriuresisUrinary sodium

Identifiers

PMID40152188
PMCPMC12287789

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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.