{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T13:54:48Z","timestamp":1781877288423,"version":"3.54.5"},"reference-count":33,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T00:00:00Z","timestamp":1775520000000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Laryngoscope Investig Oto"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Existing literature on dysphagia in patients with congestive heart failure (CHF) largely relies on patient\u2010reported outcomes with limited instrumental data. This study aimed to objectively profile swallowing function in CHF patients using videofluroscopic swallow studies (VFSS) analyzed with the ASPEKT\u00a0(Analysis of Swallowing Physiology: Events, Kinematics, and Timing) method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective study of patients admitted with CHF at St. Michael's Hospital (2021\u20132023). VFSS of liquid boluses was rated with penetration\u2010aspiration scale (PAS) and ASPEKT pixel\u2010based measures by blinded raters. Logistic regression models identified predictors of swallowing safety and efficiency.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty\u2010five patients met inclusion criteria. Atypical swallowing safety was observed in 67% of patients with HFpEF and in 90% of patients with HFrEF (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.39). Incomplete laryngeal vestibule closure (OR\u2009=\u200923.75, 95% CI [7.342, 76.829]) and thin liquids (OR\u2009=\u20095.578, 95% CI [1.477, 21.072]) were significantly associated with unsafe swallows, while a greater number of swallows was protective (OR\u2009=\u20091.657, 95% CI [1.085, 2.532]). Larger pharyngeal areas at maximum constriction were associated with increased residue (OR\u2009=\u200976.136, 95% CI [23.055, 251.421]), whereas thin (OR\u2009=\u20090.494, 95% CI [0.376, 0.649]) and mildly thick liquids (OR\u2009=\u20090.612, 95% CI [0.459, 0.818]) with reduced residue.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>CHF may impair swallowing safety and efficiency, potentially through mechanisms similar to other pulmonary conditions. Prospective studies incorporating respiratory monitoring and stratifying by CHF severity are needed to clarify physiologic pathways and clinical risks.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lio2.70402","type":"journal-article","created":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T08:51:41Z","timestamp":1775551901000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Profiling the Swallowing Safety and Efficiency of Patients Presenting With Congestive Heart Failure"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6103-7585","authenticated-orcid":false,"given":"Sana","family":"Smaoui","sequence":"first","affiliation":[{"name":"Department of Hearing and Speech Sciences, College of Allied Health Sciences Kuwait University, Sabah Al Salem University City  Safat Kuwait"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-6157-1495","authenticated-orcid":false,"given":"Alexandra","family":"Taran","sequence":"additional","affiliation":[{"name":"Li Ka Shing Knowledge Institute, St. Michael's Hospital Unity Health Toronto  Toronto Ontario Canada"},{"name":"Department of Speech\u2010Language Pathology, Faculty of Medicine University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandhya","family":"Ganesan","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2010Head &amp; Neck Surgery George Washington University School of Medicine &amp; Health Sciences  Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa","family":"Panes","sequence":"additional","affiliation":[{"name":"Li Ka Shing Knowledge Institute, St. Michael's Hospital Unity Health Toronto  Toronto Ontario Canada"},{"name":"Department of Speech\u2010Language Pathology, Faculty of Medicine University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabrielle","family":"Deveaux","sequence":"additional","affiliation":[{"name":"Li Ka Shing Knowledge Institute, St. Michael's Hospital Unity Health Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Bruni","sequence":"additional","affiliation":[{"name":"Li Ka Shing Knowledge Institute, St. Michael's Hospital Unity Health Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3533-7194","authenticated-orcid":false,"given":"Reeman","family":"Marzouqah","sequence":"additional","affiliation":[{"name":"Department of Communication Sciences and Disorders California State University  Fullerton California 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