Evidence mapPaperPMID 19007588Full record

ReviewJournal of the American College of Cardiology2008

Cardiorenal syndrome.

Claudio Ronco, Mikko Haapio, Andrew A House, Nagesh Anavekar, Rinaldo Bellomo

4 registry-linked trialsAbstract readReview
PubMed Publisher
In one paragraph

Review in Journal of the American College of Cardiology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 880 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
880citing papers in PubMed, 4 pooled it
43.0field-weighted citation impact, top 1% 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.

NCT06249932 phase4recruitingstarted 2024, after this paper: background citation

The Safety and Efficacy of Empagliflozin in Patients with End-stage Renal Disease and Heart Failure with Reduced Ejection Fraction - a Randomized Controlled Trial

Ran2024Enrolled95Registered outcomes33Posted comparisons0ConditionsEnd Stage Renal Disease on Dialysis, Heart Failure With Reduced Ejection FractionArmsempagliflozin 25 mg, Placebo
Open the trial in the graph
NCT06249945 phase4recruitingstarted 2024, after this paper: background citation

The Safety and Efficacy of Empagliflozin in Patients With End-stage Renal Disease and Heart Failure With Preserved Ejection Fraction - a Randomized Controlled Trial

Ran2024Enrolled150Registered outcomes27Posted comparisons0ConditionsEnd Stage Renal Disease on Dialysis, Heart Failure With Preserved Ejection FractionArmsempagliflozin 25 mg, Placebo
Open the trial in the graph
NCT02644057 phase2withdrawnnot on this mapstarted 2016, after this paper: background citation

Comparison of Dobutamine Versus Milrinone for Renal Recovery in Patients With Cardiorenal Syndrome-A Prospective Cohort Study in Patients With Acute Decompensated Heart Failure

TypeinterventionalSponsorMaimonides Medical CenterRan2016 to 2016Enrolled0ConditionsCardiorenal SyndromeArmsMilrinone, Dobutamine
NCT03897335 phase3unknown statusnot on this mapstarted 2019, after this paper: background citation

The Effect of Aminophylline on Preventing Acute Kidney Injury in Pediatric Patients Undergoing Open Heart Surgery

TypeinterventionalSponsorLe Bonheur Children's HospitalRan2019 to 2024Enrolled80ConditionsAcute Kidney InjuryArmsAminophylline, Placebo
3 · Its place in the literature

Who cites it

880 citing papers in PubMed, 4 syntheses or guidelines pooled it, 1,786 citations in OpenAlex.

  1. Pooled it
  2. Heart failure events in randomized controlled trials for adults receiving maintenance dialysis: a meta-epidemiologic study.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Safety and Short-Term Effects of Empagliflozin in Patients with Heart Failure and End-Stage Renal Disease.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2026
    Trial
  7. Observational
  8. Article
  9. Review
  10. Article
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  12. Review
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  16. A novel mouse model of adenine-supplemented high-fat diet induced cardiovascular-kidney-metabolic syndrome.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Article
  17. Article
  18. Article
  19. Review
  20. Article

820 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 5 institutions in 4 countries.

Claudio RoncoDepartment of Nephrology, St. Bortolo Hospital, Vicenza, Italy. cronco@goldnet.it
Mikko Haapio
Andrew A House
Nagesh Anavekar
Rinaldo Bellomo
Austin Hospital · AUHelsinki University Hospital · FILondon Health Sciences Centre · CANorthern Hospital · AUOspedale San Bortolo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The term cardiorenal syndrome (CRS) increasingly has been used without a consistent or well-accepted definition. To include the vast array of interrelated derangements, and to stress the bidirectional nature of heart-kidney interactions, we present a new classification of the CRS with 5 subtypes that reflect the pathophysiology, the time-frame, and the nature of concomitant cardiac and renal dysfunction. CRS can be generally defined as a pathophysiologic disorder of the heart and kidneys whereby acute or chronic dysfunction of 1 organ may induce acute or chronic dysfunction of the other. Type 1 CRS reflects an abrupt worsening of cardiac function (e.g., acute cardiogenic shock or decompensated congestive heart failure) leading to acute kidney injury. Type 2 CRS comprises chronic abnormalities in cardiac function (e.g., chronic congestive heart failure) causing progressive chronic kidney disease. Type 3 CRS consists of an abrupt worsening of renal function (e.g., acute kidney ischemia or glomerulonephritis) causing acute cardiac dysfunction (e.g., heart failure, arrhythmia, ischemia). Type 4 CRS describes a state of chronic kidney disease (e.g., chronic glomerular disease) contributing to decreased cardiac function, cardiac hypertrophy, and/or increased risk of adverse cardiovascular events. Type 5 CRS reflects a systemic condition (e.g., sepsis) causing both cardiac and renal dysfunction. Biomarkers can contribute to an early diagnosis of CRS and to a timely therapeutic intervention. The use of this classification can help physicians characterize groups of patients, provides the rationale for specific management strategies, and allows the design of future clinical trials with more accurate selection and stratification of the population under investigation.

Indexed as

Acute DiseaseChronic DiseaseDisease ProgressionFemaleHeart FailureHeart Function TestsHumansKidney Function TestsMalePrognosisRenal InsufficiencySeverity of Illness IndexSyndromeTerminology as Topic

Identifiers

PMID19007588
OpenAlexW2912227678

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

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 Socratic graph.