Evidence mapPaperPMID 39438405Full record

ArticleESC heart failure2025

Urine chloride trajectory and relationship with diuretic response in acute heart failure.

Mateusz Guzik, Robert Zymliński, Piotr Ponikowski, Jan Biegus

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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 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

4 authors.

Mateusz GuzikInstitute of Heart Diseases, Wroclaw, Poland.ORCID https://orcid.org/0000-0001-9711-6568
Robert ZymlińskiInstitute of Heart Diseases, Wroclaw, Poland.
Piotr PonikowskiInstitute of Heart Diseases, Wroclaw, Poland.
Jan BiegusInstitute of Heart Diseases, Wroclaw, Poland.

Funding

Institute of Heart Diseases, Wroclaw Medical University SUBZ.A460.22.055;IDUB.A46B.24.002
6 · The paper itself

Abstract

aimsSodium excretion is a well-defined marker used to assess diuretic response in acute heart failure (AHF). Despite a strong pathophysiological background, the role of urine chloride excretion has not been described and established yet. We aimed to evaluate chloride trajectory during intensive diuretic treatment in AHF patients and examine its potential role in predicting poor diuretic response.

methodsThe study was conducted on 50 AHF patients. Participants were included within the first 36 h of hospitalization. They received furosemide dose adjusted for body weight (half in bolus, half in 2 h infusion). Post-diuretic hourly urine collection with biochemical analysis was performed.

resultsIn general, the concentrations of urine chloride (uCl

conclusionsUrine chloride and sodium are highly interrelated during decongestion of AHF patients. The uCl

Indexed as

ChloridesDiureticsFurosemideHeart FailureAcute DiseaseAgedBiomarkersFemaleFollow-Up StudiesHumansMaleMiddle AgedProspective StudiesSodiumBiomarkersChloridesDiureticsFurosemideSodiumchloride trajectorydecongestiondiuresis predictiondiuretic responseurine chloride

Identifiers

PMID39438405
PMCPMC11769642

What Socratic holds

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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 Socratic graph.