Evidence map›Paper›PMID 41229332›Full record

ArticleESC heart failure2025

Determinants of diuresis/natriuresis following ambulatory intravenous loop diuretics for worsening heart failure.

Michael Massin, Guillaume Baudry, Kevin Duarte, Luca Monzo, Nicolas Sadoul, Oren Caspi, Wilfried Mullens, Olivier Huttin, Nicolas Girerd

Abstract read
In one paragraph

Article 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

9 authors.

Michael MassinCardiology Department, University Hospital, Nancy, France.ORCID https://orcid.org/0009-0004-9518-3651
Guillaume BaudryCHRU de Nancy, Centre d'Investigation Clinique Plurithématique 1433, INSERM, Université de Lorraine, INSERM U1116 - DCAC, and F-CRIN INI-CRCT(Cardiovascular and Renal Clinical Trialists), Nancy, France.ORCID https://orcid.org/0000-0002-9200-2729
Kevin DuarteCHRU de Nancy, Centre d'Investigation Clinique Plurithématique 1433, INSERM, Université de Lorraine, INSERM U1116 - DCAC, and F-CRIN INI-CRCT(Cardiovascular and Renal Clinical Trialists), Nancy, France.
Luca MonzoCHRU de Nancy, Centre d'Investigation Clinique Plurithématique 1433, INSERM, Université de Lorraine, INSERM U1116 - DCAC, and F-CRIN INI-CRCT(Cardiovascular and Renal Clinical Trialists), Nancy, France.ORCID https://orcid.org/0000-0003-2958-943X
Nicolas SadoulCardiology Department, University Hospital, Nancy, France.
Oren CaspiDepartment of Cardiology, Rambam Health Care Campus, Haifa, Israel.
Wilfried MullensHasselt University, Hasselt, Belgium.
Olivier HuttinCardiology Department, University Hospital, Nancy, France.
Nicolas GirerdCHRU de Nancy, Centre d'Investigation Clinique Plurithématique 1433, INSERM, Université de Lorraine, INSERM U1116 - DCAC, and F-CRIN INI-CRCT(Cardiovascular and Renal Clinical Trialists), Nancy, France.ORCID https://orcid.org/0000-0002-3278-2057

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe use of intravenous (IV) diuretics in an outpatient setting may represent an alternative to conventional hospitalization. Our objective was to identify factors associated with diuretic response during ambulatory IV diuretic sessions in a population of advanced heart failure with no therapeutic project and a frequent flyer profile.

methodAll patients with 4-h IV diuretic sessions were analysed. An initial bolus followed a tailored protocol for continuous infusion based on the patient's baseline diuretic dose. Variables associated with diuresis and natriuresis following furosemide infusion were evaluated using mixed linear models.

resultsSeventy-six patients (mean age 75.4 years; LVEF 42.7%; eGFR 40.7 mL/min/1.73 m

conclusionsAmbulatory 4-h IV loop diuretic sessions induced a diuresis of approximately 1000 mL with a substantial sodium content, without causing significant complications. Addition of thiazide during the session increased diuresis and/or natriuresis, and could potentially be implemented to maximize the efficacy of ambulatory IV diuretic therapy.

Indexed as

DiuresisFurosemideHeart FailureNatriuresisSodium Potassium Chloride Symporter InhibitorsStroke VolumeAgedAged, 80 and overDisease ProgressionFemaleFollow-Up StudiesGlomerular Filtration RateHumansInfusions, IntravenousMaleRetrospective StudiesFurosemideSodium Potassium Chloride Symporter InhibitorsAmbulatory managementCardiovascular diseasesDiureticsHeart failureWorsening heart failure

Identifiers

PMID41229332
PMCPMC12719862

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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.