Freely Filtered 059: Furosemide v Torsemide

Another dogma shredding trial about diuretics, this time torsemide goes up against king furosemide and its ability to prevent rehospitalization CV events.

The Filtrate:

Joel Topf

Sophia Ambruso

Nayan Arora

With Special Guest:

Boback Ziaeian @boback Assistant Professor of Medicine David Geffen School of Medicine at UCLA. His Google Schoolar page is better than yours.

And returning for her fourth time (why do we keep inviting her back?)
Sadiya Khan
@heartDocSadiya Assistant Professor of Medicine (Cardiology) and Preventative Medicine at Northwestern Feinberg School of Medicine. Link

Editor:

Priya Yenebere

Show Notes:

Diuretic Therapy review by. Craig Brater NEJM

The manuscript in JAMA | NephJC

Metoprolol vs Carvedilol: Comparison of carvedilol and metoprolol on clinical outcomes in patients with chronic heart failure in the Carvedilol Or Metoprolol European Trial (COMET): randomised controlled trial (Lancet)

EMPULSE: The SGLT2 inhibitor empagliflozin in patients hospitalized for acute heart failure: a multinational randomized trial (Nature Medicine)

Effect of Aliskiren on Postdischarge Mortality and Heart Failure Readmissions Among Patients Hospitalized for Heart Failure The ASTRONAUT Randomized Trial

Effects of Oral Tolvaptan in Patients Hospitalized for Worsening Heart Failure The EVEREST Outcome Trial

Sophia ended up placing fifth in NephMadness 2023. (Link)

Joel finished 697th

After winning in the opening round, Northwestern lost to UCLA, in the second round of the March Madness tournament, 68-63.

Torsemide to furosemide equivalents

CardioMems positive trial: Sustained efficacy of pulmonary artery pressure to guide adjustment of chronic heart failure therapy: complete follow-up results from the CHAMPION randomised trial (The Lancet)

CardioMems negative trial: Haemodynamic-guided management of heart failure (GUIDE-HF): a randomised controlled trial (The Lancet)

Estimation of the Absolute Risk of Cardiovascular Disease and Other Events: Issues With the Use of Multiple Fine-Gray Subdistribution Hazard Models (Circulation)

Torasemide in chronic heart failure: results of the TORIC study (PubMed)

Tubular Secretions

Nayan: Louise Penny A World of Curiosities: A Novel (Amazon)

Sadiya: Ted Lasso season three

Sophia:The Last of Us on HBO and SNL skit Mario Cart as Prestige Drama

Boback: Duolingo for Japanese