{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T04:52:28Z","timestamp":1790398348672,"version":"4.1.0"},"reference-count":23,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T00:00:00Z","timestamp":1760486400000},"content-version":"vor","delay-in-days":609,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2024,2,14]],"date-time":"2024-02-14T00:00:00Z","timestamp":1707868800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Remote dielectric sensing (ReDS) represents a contemporary non-invasive technique reliant on electromagnetic energy to quantify pulmonary congestion. Its prognostic significance within the context of heart failure (HF) patients remains elusive. This study aimed to assess the prognostic implications of residual pulmonary congestion, as gauged by the ReDS system, among patients admitted due to congestive HF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>We enrolled hospitalized HF patients who underwent ReDS assessments upon admission and discharge in a blinded manner, independent of attending physicians. We evaluated the prognostic impact of the ReDS ratio between admission and discharge on the primary outcome, which encompassed all-cause mortality and HF-related re-hospitalizations. A cohort of 133 patients (median age 78 [72, 84] years, 78 male [59%]) was included. Over a median observation period of 363 days post-index discharge, an escalated ReDS group (ReDS ratio &amp;gt; 100%), determined through statistical calculation, emerged as an independent predictor of the primary outcome, exhibiting an adjusted hazard ratio of 4.37 (95% confidence interval 1.13\u201316.81, P = 0.032). The cumulative incidence of the primary outcome was notably higher in the increased ReDS group compared with the decreased ReDS group (50.1% vs. 8.5%, P = 0.034).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Elevated ReDS ratios detected during the index hospitalization could serve as a promising prognostic indicator in HF patients admitted for treatment. The clinical ramifications of ReDS-guided HF management warrant validation in subsequent studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ehf2.14690","type":"journal-article","created":{"date-parts":[[2024,2,15]],"date-time":"2024-02-15T02:04:31Z","timestamp":1707962671000},"page":"1443-1451","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Prognostic Impact of Residual Pulmonary Congestion Assessed by Remote Dielectric Sensing System in Patients Admitted for Heart Failure"],"prefix":"10.1093","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2703-2523","authenticated-orcid":false,"given":"Toshihide","family":"Izumida","sequence":"first","affiliation":[{"name":"Second Department of Internal Medicine, University of Toyama , Toyama ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7294-7637","authenticated-orcid":false,"given":"Teruhiko","family":"Imamura","sequence":"additional","affiliation":[{"name":"Second Department of Internal Medicine, University of Toyama , Toyama ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takatoshi","family":"Koi","sequence":"additional","affiliation":[{"name":"Second Department of Internal Medicine, University of Toyama , Toyama ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaki","family":"Nakagaito","sequence":"additional","affiliation":[{"name":"Second Department of Internal Medicine, University of Toyama , Toyama ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Onoda","sequence":"additional","affiliation":[{"name":"Second Department of Internal Medicine, University of Toyama , Toyama ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuhei","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Second Department of Internal Medicine, University of Toyama , Toyama ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryuichi","family":"Ushijima","sequence":"additional","affiliation":[{"name":"Second Department of Internal Medicine, University of Toyama , Toyama ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoya","family":"Kataoka","sequence":"additional","affiliation":[{"name":"Second Department of Internal Medicine, University of Toyama , Toyama ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Makiko","family":"Nakamura","sequence":"additional","affiliation":[{"name":"Second Department of Internal Medicine, University of Toyama , Toyama ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitsuo","family":"Sobajima","sequence":"additional","affiliation":[{"name":"Second Department of Internal Medicine, University of Toyama , Toyama ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobuyuki","family":"Fukuda","sequence":"additional","affiliation":[{"name":"Second Department of Internal Medicine, University of Toyama , Toyama ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Ueno","sequence":"additional","affiliation":[{"name":"Second Department of Internal Medicine, University of Toyama , Toyama ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koichiro","family":"Kinugawa","sequence":"additional","affiliation":[{"name":"Second Department of Internal Medicine, University of Toyama , Toyama ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,2,14]]},"reference":[{"key":"2026012113030945000_ehf214690-bib-0001","doi-asserted-by":"publisher","first-page":"641","DOI":"10.1038\/s41569-020-0379-7","article-title":"Congestion in heart failure: A contemporary look at physiology, diagnosis and treatment","volume":"17","author":"Boorsma","year":"2020","journal-title":"Nat Rev Cardiol"},{"key":"2026012113030945000_ehf214690-bib-0002","doi-asserted-by":"publisher","first-page":"1682","DOI":"10.1093\/eurjpc\/zwaa147","article-title":"Burden of heart failure and underlying causes in 195 countries and territories from 1990 to 2017","volume":"28","author":"Bragazzi","year":"2021","journal-title":"Eur J Prev Cardiol"},{"key":"2026012113030945000_ehf214690-bib-0003","doi-asserted-by":"publisher","first-page":"906","DOI":"10.1002\/ejhf.321","article-title":"Assessment and prevalence of pulmonary oedema in contemporary acute heart failure trials: A systematic review","volume":"17","author":"Platz","year":"2015","journal-title":"Eur J Heart Fail"},{"key":"2026012113030945000_ehf214690-bib-0004","doi-asserted-by":"publisher","first-page":"1966","DOI":"10.1016\/j.jacc.2019.08.001","article-title":"2019 ACC Expert Consensus Decision Pathway on Risk Assessment, Management, and Clinical Trajectory of Patients Hospitalized With Heart Failure: A report of the American College of Cardiology Solution Set Oversight Committee","volume":"74","author":"Hollenberg","year":"2019","journal-title":"J Am Coll Cardiol"},{"key":"2026012113030945000_ehf214690-bib-0005","doi-asserted-by":"publisher","first-page":"3042","DOI":"10.1016\/j.jacc.2017.04.042","article-title":"Time-to-furosemide treatment and mortality in patients hospitalized with acute heart failure","volume":"69","author":"Matsue","year":"2017","journal-title":"J Am Coll Cardiol"},{"key":"2026012113030945000_ehf214690-bib-0006","doi-asserted-by":"publisher","first-page":"628","DOI":"10.1161\/CIRCHEARTFAILURE.111.962290","article-title":"Admission, discharge, or change in B-type natriuretic peptide and long-term outcomes: Data from organized program to initiate lifesaving treatment in hospitalized patients with heart failure (OPTIMIZE-HF) linked to Medicare claims","volume":"4","author":"Kociol","year":"2011","journal-title":"Circ Heart Fail"},{"key":"2026012113030945000_ehf214690-bib-0007","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1186\/s12947-015-0033-4","article-title":"Persistent pulmonary congestion before discharge predicts rehospitalization in heart failure: A lung ultrasound study","volume":"13","author":"Gargani","year":"2015","journal-title":"Cardiovasc Ultrasound"},{"key":"2026012113030945000_ehf214690-bib-0008","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1016\/j.ijcard.2019.01.091","article-title":"Mid-term prognostic impact of residual pulmonary congestion assessed by radiographic scoring in patients admitted for worsening heart failure","volume":"289","author":"Kobayashi","year":"2019","journal-title":"Int J Cardiol"},{"key":"2026012113030945000_ehf214690-bib-0009","doi-asserted-by":"publisher","first-page":"273","DOI":"10.1016\/j.jchf.2017.09.023","article-title":"INI-CRCT, great network, and the EF-HF Group. Integrative assessment of congestion in heart failure throughout the patient journey","volume":"6","author":"Girerd","year":"2018","journal-title":"JACC Heart Fail"},{"key":"2026012113030945000_ehf214690-bib-0010","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1111\/chf.12021","article-title":"A novel approach to monitoring pulmonary congestion in heart failure: Initial animal and clinical experiences using remote dielectric sensing technology","volume":"19","author":"Amir","year":"2013","journal-title":"Congest Heart Fail"},{"key":"2026012113030945000_ehf214690-bib-0011","doi-asserted-by":"publisher","first-page":"841","DOI":"10.1016\/j.ijcard.2016.06.323","article-title":"Validation of remote dielectric sensing (ReDS\u2122) technology for quantification of lung fluid status: Comparison to high resolution chest computed tomography in patients with and without acute heart failure","volume":"221","author":"Amir","year":"2016","journal-title":"Int J Cardiol"},{"key":"2026012113030945000_ehf214690-bib-0012","doi-asserted-by":"publisher","first-page":"164","DOI":"10.3390\/jcm11010164","article-title":"Validation of noninvasive remote dielectric sensing system to quantify lung fluid levels","volume":"11","author":"Imamura","year":"2021","journal-title":"J Clin Med"},{"key":"2026012113030945000_ehf214690-bib-0013","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1253\/circrep.CR-21-0130","article-title":"Relationship between body posture and lung fluid volume assessed using a novel noninvasive remote dielectric sensing system","volume":"4","author":"Imamura","year":"2021","journal-title":"Circ Rep"},{"key":"2026012113030945000_ehf214690-bib-0014","doi-asserted-by":"publisher","first-page":"3472","DOI":"10.1002\/ehf2.13550","article-title":"Patient monitoring across the spectrum of heart failureHF disease management 10 years after the CHAMPION trial","volume":"8","author":"Abraham","year":"2021","journal-title":"ESC Heart Fail"},{"key":"2026012113030945000_ehf214690-bib-0015","doi-asserted-by":"publisher","first-page":"2084","DOI":"10.1253\/circj.CJ-19-0342","article-title":"Japanese Circulation Society and the Japanese heart failure society joint working group. JCS 2017\/JHFS 2017 guideline on diagnosis and treatment of acute and chronic heart failure - digest version","volume":"83","author":"Tsutsui","year":"2019","journal-title":"Circ J"},{"key":"2026012113030945000_ehf214690-bib-0016","doi-asserted-by":"publisher","first-page":"2252","DOI":"10.1253\/circj.CJ-21-0431","article-title":"Japanese Circulation Society and the Japanese heart failure society joint working group. JCS\/JHFS 2021 guideline focused update on diagnosis and treatment of acute and chronic heart failure","volume":"85","author":"Tsutsui","year":"2021","journal-title":"Circ J"},{"key":"2026012113030945000_ehf214690-bib-0017","doi-asserted-by":"publisher","first-page":"192","DOI":"10.1016\/j.ijcard.2019.06.062","article-title":"Chest X-ray quantification of admission lung congestion as a prognostic factor in patients admitted for worsening heart failureHF from the ICALOR cohort study","volume":"299","author":"Kobayashi","year":"2022","journal-title":"Int J Cardiol"},{"key":"2026012113030945000_ehf214690-bib-0018","doi-asserted-by":"publisher","first-page":"235","DOI":"10.5603\/CJ.a2022.0004","article-title":"Chest computed tomography features of heart failure: A prospective observational study in patients with acute dyspnea","volume":"29","author":"Miger","year":"2022","journal-title":"Cardiol J"},{"key":"2026012113030945000_ehf214690-bib-0019","doi-asserted-by":"publisher","first-page":"517","DOI":"10.1007\/s00380-022-02190-0","article-title":"Remote dielectric sensing and lung ultrasound to assess pulmonary congestion","volume":"38","author":"Izumida","year":"2022","journal-title":"Heart Vessels"},{"key":"2026012113030945000_ehf214690-bib-0020","doi-asserted-by":"publisher","first-page":"1128","DOI":"10.1536\/ihj.22-348","article-title":"Correlation between plasma B-type natriuretic peptide levels and remote dielectric sensing in patients with heart failure","volume":"63","author":"Izumida","year":"2022","journal-title":"Int Heart J"},{"key":"2026012113030945000_ehf214690-bib-0021","doi-asserted-by":"publisher","first-page":"598","DOI":"10.3390\/jcm12020598","article-title":"Correlation between remote dielectric sensing and chest X-ray to assess pulmonary congestion","volume":"12","author":"Izumida","year":"2023","journal-title":"J Clin Med"},{"key":"2026012113030945000_ehf214690-bib-0022","doi-asserted-by":"publisher","first-page":"386","DOI":"10.1016\/j.jccase.2022.08.005","article-title":"Experience with remote dielectric sensing (ReDS) for acute decompensated heart failure complicated by chronic obstructive pulmonary disease","volume":"26","author":"Izumida","year":"2022","journal-title":"J Cardiol Cases"},{"key":"2026012113030945000_ehf214690-bib-0023","doi-asserted-by":"publisher","first-page":"865","DOI":"10.1536\/ihj.23-191","article-title":"Association between remote dielectric sensing and body mass index","volume":"64","author":"Izumida","year":"2023","journal-title":"Int Heart J"}],"container-title":["ESC Heart Failure"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/eschf\/article-pdf\/11\/3\/1443\/64070401\/eschf_11_3_1443.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/eschf\/article-pdf\/11\/3\/1443\/64070401\/eschf_11_3_1443.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T18:03:19Z","timestamp":1769018599000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/eschf\/article\/11\/3\/1443\/8234050"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,14]]},"references-count":23,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024,2,14]]},"published-print":{"date-parts":[[2024,6,1]]}},"URL":"https:\/\/doi.org\/10.1002\/ehf2.14690","relation":{},"ISSN":["2055-5822"],"issn-type":[{"value":"2055-5822","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,6]]},"published":{"date-parts":[[2024,2,14]]},"assertion":[{"value":"2023-08-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}