Evidence map›Paper›PMID 41804908›Full record

ArticleJournal of the American Heart Association2026

Continuous Versus Intermittent Loop Diuretics Step-by-Step Protocol in Acute Heart Failure (DIUR-AHF): A Propensity-Matched Analysis.

Gaetano Ruocco, Andrea Salzano, Sara Franceschi, Roberto Lorusso, Filippo Pirrotta, Andrea Stefanini, Antonio Pagliaro, Paolo Severino, Andrea D'Amato, Carmine D Vizza and 7 more

Abstract readComparative Study
In one paragraph

Article in Journal of the American Heart Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

17 authors.

Gaetano RuoccoCardiovascular Research Institute Maastricht Maastrict University Maastricht Netherlands.ORCID 0000-0003-2841-1429
Andrea SalzanoDepartment of Translational Medical Sciences "Federico II" University Naples Italy.ORCID 0000-0003-2352-2103
Sara FranceschiDepartment of Economics and Statistics University of Siena Italy.ORCID 0000-0001-6675-4540
Roberto LorussoCardiovascular Research Institute Maastricht Maastrict University Maastricht Netherlands.ORCID 0000-0002-1777-2045
Filippo PirrottaCardiovascular Diseases Unit, Cardio-Thoracic and Vascular Department Le Scotte Hospital, University of Siena Siena Italy.ORCID 0009-0005-1346-5426
Andrea StefaniniCardiovascular Diseases Unit, Cardio-Thoracic and Vascular Department Le Scotte Hospital, University of Siena Siena Italy.ORCID 0000-0002-3073-2865
Antonio PagliaroClinical Cardiology Unit, Cardio-Thoracic and Vascular Department Le Scotte Hospital Siena Italy.ORCID 0009-0006-8294-3425
Paolo SeverinoDepartment of Clinical, Anesthesiological and Cardiovascular Sciences Sapienza University of Rome Rome Italy.ORCID 0000-0001-6211-4482
Andrea D'AmatoDepartment of Clinical, Anesthesiological and Cardiovascular Sciences Sapienza University of Rome Rome Italy.
Carmine D VizzaDepartment of Clinical, Anesthesiological and Cardiovascular Sciences Sapienza University of Rome Rome Italy.ORCID 0000-0002-3540-4983
Giulia CrisciDepartment of Cardiology University of Milano School of Medicine, San Paolo Hospital Milan Italy.ORCID 0009-0000-8845-7010
Marco GuazziDepartment of Cardiology University of Milano School of Medicine, San Paolo Hospital Milan Italy.ORCID 0000-0002-8456-609X
Simone FreaDivision of Cardiology, Cardiovascular and Thoracic Department Città Della Salute e Della Scienza Turin Italy.ORCID 0000-0002-2977-3299
Guido PastoriniDepartment of Cardiology Ospedale Regina Montis Regalis Strada del Rocchetto 99 Mondovì Italy.ORCID 0000-0001-8520-4018
Mauro FeolaDepartment of Cardiology Ospedale Regina Montis Regalis Strada del Rocchetto 99 Mondovì Italy.
Francesco FedeleDepartment of Clinical, Anesthesiological and Cardiovascular Sciences Sapienza University of Rome Rome Italy.
Alberto PalazzuoliCardiovascular Diseases Unit, Cardio-Thoracic and Vascular Department Le Scotte Hospital, University of Siena Siena Italy.ORCID 0000-0002-6235-984X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLoop diuretics are used to solve congestion in acute heart failure. However, a clear indication about the best infusion modality, dose, and duration of the treatment has not yet been established. In this analysis of the DIUR-AHF (Different Loop Diuretic Dosing and Administration in Acute Heart Failure) study, we aimed to investigate the effects of different diuretic administration modalities (ie, intermittent versus continuous furosemide infusion) and dose (high dose [HD] versus low dose) on congestion, renal function, and outcome.

methodsPatients received intermittent or continuous intravenous loop diuretics infusion combined as a 1:1 ratio for a period of 72 to 120 hours. HD was defined as a high loop diuretic dose >120 mg/d. Clinical outcome was evaluated in terms of death or heart failure rehospitalization over a 6-month follow-up period.

resultsA total of 370 patients with AHF were included in this analysis, 189 treated with continuous intravenous loop diuretics infusion and 181 with intermittent intravenous loop diuretics infusion. At baseline, the continuous intravenous loop diuretic infusion group showed increased median values of blood urea (

conclusionsAn HD of loop diuretics infusion revealed an increased risk for adverse events together with reduced diuretic response. Our results extend previous findings revealing the association between HD diuretics and prognosis in patients with chronic HF. Additional studies may confer loop diuretic response in relation to the other decongestive treatments.

Indexed as

FurosemideHeart FailureSodium Potassium Chloride Symporter InhibitorsAcute DiseaseAgedAged, 80 and overDrug Administration ScheduleFemaleHumansInfusions, IntravenousMaleMiddle AgedPatient ReadmissionPropensity ScoreTime FactorsTreatment OutcomeFurosemideSodium Potassium Chloride Symporter Inhibitorsacute heart failurecongestionloop diureticsmanagement

Identifiers

PMID41804908
PMCPMC13055769

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.