Page last updated: 2024-10-27

furosemide and Heart Failure, Systolic

furosemide has been researched along with Heart Failure, Systolic in 9 studies

Furosemide: A benzoic-sulfonamide-furan. It is a diuretic with fast onset and short duration that is used for EDEMA and chronic RENAL INSUFFICIENCY.
furosemide : A chlorobenzoic acid that is 4-chlorobenzoic acid substituted by a (furan-2-ylmethyl)amino and a sulfamoyl group at position 2 and 5 respectively. It is a diuretic used in the treatment of congestive heart failure.

Heart Failure, Systolic: Heart failure caused by abnormal myocardial contraction during SYSTOLE leading to defective cardiac emptying.

Research Excerpts

ExcerptRelevanceReference
"The Efficacy of Vasopressin Antagonism in Heart Failure Outcome Study With Tolvaptan database was examined to assess the short-term clinical course of patients hospitalized with heart failure and hyponatremia and the effect of tolvaptan on outcomes."9.17Clinical course of patients with hyponatremia and decompensated systolic heart failure and the effect of vasopressin receptor antagonism with tolvaptan. ( Burnett, J; Gheorghiade, M; Grinfeld, L; Hauptman, PJ; Konstam, MA; Kostic, D; Krasa, HB; Maggioni, A; Ouyang, J; Swedberg, K; Udelson, JE; Zannad, F; Zimmer, C, 2013)
"Systolic heart failure patients with ejection fraction <50% were studied, who, at the treating physician's discretion, received 8-hour infusions of: high dose furosemide (20mg/h), low dose furosemide (5mg/h) or dopamine (5μg/kg/min) combined with furosemide (5mg/h)."7.81Effects of ventriculoarterial coupling changes on renal function, echocardiographic indices and energy efficiency in patients with acute decompensated systolic heart failure under furosemide and dopamine treatment: a comparison of three therapeutic protoc ( Antoniou, CK; Chrysohoou, C; Lerakis, S; Manolakou, P; Pitsavos, C; Stefanadis, C; Tousoulis, D; Tsioufis, K, 2015)
"Furosemide doses were categorized as low or none (0-40 mg/d), intermediate (41-80 mg/d), and high (>80 mg)."5.46Furosemide Prescription During the Dry State Is a Predictor of Long-Term Survival of Stable, Optimally Medicated Patients With Systolic Heart Failure. ( Longo, S; Lousada, N; Reis, RP; Sargento, L; Simões, AV, 2017)
"The Efficacy of Vasopressin Antagonism in Heart Failure Outcome Study With Tolvaptan database was examined to assess the short-term clinical course of patients hospitalized with heart failure and hyponatremia and the effect of tolvaptan on outcomes."5.17Clinical course of patients with hyponatremia and decompensated systolic heart failure and the effect of vasopressin receptor antagonism with tolvaptan. ( Burnett, J; Gheorghiade, M; Grinfeld, L; Hauptman, PJ; Konstam, MA; Kostic, D; Krasa, HB; Maggioni, A; Ouyang, J; Swedberg, K; Udelson, JE; Zannad, F; Zimmer, C, 2013)
"Systolic heart failure patients with ejection fraction <50% were studied, who, at the treating physician's discretion, received 8-hour infusions of: high dose furosemide (20mg/h), low dose furosemide (5mg/h) or dopamine (5μg/kg/min) combined with furosemide (5mg/h)."3.81Effects of ventriculoarterial coupling changes on renal function, echocardiographic indices and energy efficiency in patients with acute decompensated systolic heart failure under furosemide and dopamine treatment: a comparison of three therapeutic protoc ( Antoniou, CK; Chrysohoou, C; Lerakis, S; Manolakou, P; Pitsavos, C; Stefanadis, C; Tousoulis, D; Tsioufis, K, 2015)
"Diastolic heart failure patients (n = 183) were more likely to be older, female, hypertensive, obese, with shorter preexisting HF duration, atrial fibrillation, lower New York Heart Association (NYHA) class, lower maintenance furosemide dosages, and to receive calcium antagonists."3.75Clinical variables affecting survival in patients with decompensated diastolic versus systolic heart failure. ( Almoznino-Sarafian, D; Alon, I; Babakin, Z; Cohen, N; Efrati, S; Gorelik, O; Modai, D; Shteinshnaider, M; Sokolsky, I; Tzur, I, 2009)
"Furosemide doses were categorized as low or none (0-40 mg/d), intermediate (41-80 mg/d), and high (>80 mg)."1.46Furosemide Prescription During the Dry State Is a Predictor of Long-Term Survival of Stable, Optimally Medicated Patients With Systolic Heart Failure. ( Longo, S; Lousada, N; Reis, RP; Sargento, L; Simões, AV, 2017)

Research

Studies (9)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's1 (11.11)29.6817
2010's8 (88.89)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Hauptman, PJ2
Burnett, J1
Gheorghiade, M1
Grinfeld, L1
Konstam, MA2
Kostic, D1
Krasa, HB1
Maggioni, A1
Ouyang, J1
Swedberg, K1
Zannad, F1
Zimmer, C2
Udelson, JE2
McKie, PM1
Schirger, JA1
Benike, SL1
Harstad, LK1
Chen, HH1
Antoniou, CK1
Chrysohoou, C1
Lerakis, S1
Manolakou, P1
Pitsavos, C1
Tsioufis, K1
Stefanadis, C1
Tousoulis, D1
Sargento, L1
Simões, AV1
Longo, S1
Lousada, N1
Reis, RP1
Gorelik, O1
Almoznino-Sarafian, D1
Shteinshnaider, M1
Alon, I1
Tzur, I1
Sokolsky, I1
Efrati, S1
Babakin, Z1
Modai, D1
Cohen, N1
Bonfils, PK1
Damgaard, M1
Taskiran, M1
Goetze, JP1
Norsk, P1
Gadsbøll, N1
Bilsker, M1
Sequeira, R1
Thomas, I1
O'Brien, T1
Orlandi, C1
Costello-Boerrigter, LC1
Burnett, JC1
Agvall, B1
Alehagen, U1
Dahlström, U1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Protocol 156-03-236: Multicenter, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Long Term Efficacy and Safety of Oral Tolvaptan Tablets in Subjects Hospitalized With Worsening Congestive Heart Failure[NCT00071331]Phase 33,600 participants Interventional2003-09-30Completed
To Define the Effects of Decreasing the Furosemide Dose on Cardiorenal and Humoral Function in Humans With Compensated Chronic Heart Failure (CHF) With and Without Renal Dysfunction[NCT00982423]Phase 1/Phase 241 participants (Actual)Interventional2009-07-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Aldosterone at Baseline and in Response to Decreasing Furosemide Dose

Aldosterone is part of the renin-angiotensin-aldosterone system (RAAS). Drugs that interfere with the secretion or action of aldosterone are in use as antihypertensives, like lisinopril, which lowers blood pressure by blocking the angiotensin-converting enzyme (ACE), leading to lower aldosterone secretion. The net effect of these drugs is to reduce sodium and water retention but increase retention of potassium. (NCT00982423)
Timeframe: 3 weeks, approximately 6 weeks

,
Interventionng/dL (Mean)
Baseline (3 weeks)Approximately 6 weeks
Compensated CHF With Renal Dysfunction4.94.9
Compensated CHF Without Renal Dysfunction7.97.6

Angiotensin II at Baseline and in Response to Decreasing Furosemide Dose

Renin activates the renin-angiotensin system by cleaving angiotensinogen, produced by the liver, to yield angiotensin I, which is further converted into angiotensin II by the angiotensin-converting enzyme (ACE) primarily within the capillaries of the lungs. Angiotensin II then constricts blood vessels, increases the secretion of antidiuretic hormone (ADH) and aldosterone, and stimulates the hypothalamus to activate the thirst reflex, each leading to an increase in blood pressure. (NCT00982423)
Timeframe: 3 weeks, approximately 6 weeks

,
Interventionpg/mL (Mean)
Baseline (3 weeks)Approximately 6 weeks
Compensated CHF With Renal Dysfunction3.13.2
Compensated CHF Without Renal Dysfunction3.33.4

Plasma Cyclic Guanosine Monophosphate (cGMP) at Baseline and in Response to Decreasing Furosemide Dose

Any change in atrial filling pressures leads to the release of atrial natriuretic peptides (ANP) from the heart. Once released, atrial peptides exert potent direct vasodilator and natriuretic actions by virtue of the ability to increase their intracellular second messenger, cGMP. Plasma cGMP correlates closely with the severity of congestive heart failure. (NCT00982423)
Timeframe: 3 weeks, approximately 6 weeks

,
Interventionpg/mL (Mean)
Baseline (3 weeks)Approximately 6 weeks
Compensated CHF With Renal Dysfunction5.77.0
Compensated CHF Without Renal Dysfunction5.04.6

Plasma Renin Activity at Baseline and in Response to Decreasing Furosemide Dose

Plasma renin activity is a measure of the activity of the plasma enzyme renin, which plays a major role in the body's regulation of blood pressure, thirst, and urine output. Renin is an enzyme that hydrolyses angiotensinogen secreted from the liver into the peptide angiotensin I. Renin's primary function is to cause an increase in blood pressure, leading to restoration of perfusion pressure in the kidneys. (NCT00982423)
Timeframe: 3 weeks, approximately 6 weeks

,
Interventionng/mL/hr (Mean)
Baseline (3 weeks)Approximately 6 weeks
Compensated CHF With Renal Dysfunction2.11.4
Compensated CHF Without Renal Dysfunction4.32.7

Renal Function as Measured by Glomerular Filtration Rate (GFR) at Baseline and in Response to Decreasing Furosemide Dose

Kidney function was measured by GFR determined by iothalamate clearance. GFR describes the flow rate of filtered fluid through the kidney measured in milliliters per minute per 1.73 m^2 of body surface area. A lower GFR means the kidney is not filtering normally. An estimated GFR of less than 60 mg/min/1.73 m^2 of body surface area is considered to be impaired kidney function. (NCT00982423)
Timeframe: 3 weeks, approximately 6 weeks

,
Interventionml/min (Mean)
Baseline (3 weeks)Approximately 6 weeks
Compensated CHF With Renal Dysfunction4250
Compensated CHF Without Renal Dysfunction7773

Renal Plasma Flow at Baseline and in Response to Decreasing Furosemide Dose

Effective renal plasma flow (eRPF) is a measure used to calculate renal plasma flow (RPF) and hence estimate renal function. Renal plasma flow is the volume of blood plasma that flows through the kidneys per unit time, measured as ml/min. (NCT00982423)
Timeframe: 3 weeks, approximately 6 weeks

,
Interventionml/min (Mean)
Baseline (3 weeks)Approximately 6 weeks
Compensated CHF With Renal Dysfunction198214
Compensated CHF Without Renal Dysfunction304293

Trials

4 trials available for furosemide and Heart Failure, Systolic

ArticleYear
Clinical course of patients with hyponatremia and decompensated systolic heart failure and the effect of vasopressin receptor antagonism with tolvaptan.
    Journal of cardiac failure, 2013, Volume: 19, Issue:6

    Topics: Aged; Analysis of Variance; Antidiuretic Hormone Receptor Antagonists; Arginine Vasopressin; Benzaze

2013
The effects of dose reduction of furosemide on glomerular filtration rate in stable systolic heart failure.
    JACC. Heart failure, 2014, Volume: 2, Issue:6

    Topics: Aged; Diuretics; Dose-Response Relationship, Drug; Female; Furosemide; Glomerular Filtration Rate; H

2014
A multicenter, randomized, double-blind, placebo-controlled study of tolvaptan monotherapy compared to furosemide and the combination of tolvaptan and furosemide in patients with heart failure and systolic dysfunction.
    Journal of cardiac failure, 2011, Volume: 17, Issue:12

    Topics: Antidiuretic Hormone Receptor Antagonists; Benzazepines; Body Weight; Diuretics; Double-Blind Method

2011
The benefits of using a heart failure management programme in Swedish primary healthcare.
    European journal of heart failure, 2013, Volume: 15, Issue:2

    Topics: Adrenergic beta-Antagonists; Aged; Aged, 80 and over; Angiotensin II Type 1 Receptor Blockers; Angio

2013

Other Studies

5 other studies available for furosemide and Heart Failure, Systolic

ArticleYear
Effects of ventriculoarterial coupling changes on renal function, echocardiographic indices and energy efficiency in patients with acute decompensated systolic heart failure under furosemide and dopamine treatment: a comparison of three therapeutic protoc
    International journal of cardiology, 2015, Nov-15, Volume: 199

    Topics: Acute Disease; Aged; Cardiotonic Agents; Diuretics; Dopamine; Dose-Response Relationship, Drug; Drug

2015
Furosemide Prescription During the Dry State Is a Predictor of Long-Term Survival of Stable, Optimally Medicated Patients With Systolic Heart Failure.
    Journal of cardiovascular pharmacology and therapeutics, 2017, Volume: 22, Issue:3

    Topics: Aged; Aged, 80 and over; Area Under Curve; Dose-Response Relationship, Drug; Drug Administration Sch

2017
Clinical variables affecting survival in patients with decompensated diastolic versus systolic heart failure.
    Clinical research in cardiology : official journal of the German Cardiac Society, 2009, Volume: 98, Issue:4

    Topics: Aged; Aged, 80 and over; Diuretics; Echocardiography; Electrocardiography; Female; Follow-Up Studies

2009
Impact of diuretic treatment and sodium intake on plasma volume in patients with compensated systolic heart failure.
    European journal of heart failure, 2010, Volume: 12, Issue:9

    Topics: Aged; Cardiac Output; Diuretics; Dose-Response Relationship, Drug; Echocardiography; Exercise Test;

2010
Controlling the flood gates: vaptans, furosemide and the quest for a renal protective diuresis.
    Journal of cardiac failure, 2011, Volume: 17, Issue:12

    Topics: Antidiuretic Hormone Receptor Antagonists; Benzazepines; Diuretics; Female; Furosemide; Heart Failur

2011