Research Divisions

Accident and Emergency Medicine

Group LeaderLocation and ContactMembersLines of ResearchNotable PublicationsProjectsPhD ThesesClinical TrialsNews
Dr. Pablo Herrero

Pablo Herrero Puente

  • Specialist Health Professional (FEA) in the Accident and Emergency Clinical Management Unit, Hospital Universitario Central de Asturias (HUCA)
  • Associate Lecturer in the Department of Medicine, Universidad de Oviedo

Hospital Universitario Central de Asturias (HUCA)

Avenida Hospital Universitario s/n

33011 Oviedo, Spain.

Name Organisation Activity Euraxess classification
Alonso Morilla, Ana SESPA Research/Clinical R2
Álvarez Ramos, Belén SESPA Research/Clinical R2
Antuña Montes, Luis SESPA Research/Clinical R2
Bazo Canelón, César SESPA Research/Clinical R2
Calzón Blanco, Cristina SESPA Research/Clinical R2
Fernández Fernández, Alejandra SESPA Research/Clinical R2
Fernández Iglesias, Carolina SESPA Research/Clinical R2
Fernández Rodríguez, Verónica SESPA Research/Clinical R2
García Fernández, José Antonio SESPA Research/Clinical R2
García García, María SESPA Research/Clinical R2
Herrero Puente, Pablo SESPA Research/Clinical R3
Hevia Nava, José Sergio SESPA Research/Clinical R2
Houghton García, Richard F. SESPA Research/Clinical/Teaching R2
Irimia , Andrea SESPA Research/Clinical R2
Maujo Fernández, Jesús Manuel SESPA Research/Clinical R2
Miguel Fernández, Diego SESPA Research/Clinical R2
Prieto García, Belén SESPA Research/Clinical R2
Rubianes Fernández, Pablo SESPA Research/Clinical R2
Sánchez González, Marta SESPA Research/Clinical R2
Vázquez Álvarez, Joaquín SESPA Research/Clinical R2
Vázquez Martínez, Ángel David SESPA Research/Clinical R2
Álvarez Lara, Miriam SESPA Research/Clinical No classification
Herrero Valea, Ángela SESPA Research/Clinical No classification



This line of research is led by the Acute Heart Failure working group of the Sociedad Española de Medicina de Urgencias y Emergencias (Spanish Society of Emergency Medicine): a multidisciplinary group including several Spanish hospitals, whose objective is to conduct research on this pathology. Within this group, HUCA leads the part of the research that focuses specifically on new and classic BIOMARKERS, their importance in prognosis and their inclusion in risk scales.


This is a line of research exploring both new biomarkers and new indications for those already available in emergency medicine, primarily for cardiovascular disease but also for pathologies with other aetiologies, such as infectious disease.

  • Trullàs JC, Miró Ò, Formiga F, Martín-Sánchez FJ, Montero-Pérez-Barquero M, Jacob J, Quirós- López R, Herrero Puente P, Manzano L, Llorens P; members of the RICA and EAHFE registries. The utility of heart failure registries: a descriptive and comparative study of two heart failure registries. Postgrad Med J. 2016 May;92(1087):260-6.
  • Herrero-Puente P, Jacob J, Martín-Sánchez FJ, Vázquez-Álvarez J, Martínez-Camblor P, Miró Ò, Lucas-Imbernón FJ, Martínez-Zapico A, Llorens P; ICA-SEMES group. Influence of Intravenous Nitrate Treatment on Early Mortality Among Patients With Acute Heart Failure. NITRO-EAHFE Study.Rev Esp Cardiol (Engl Ed). 2015 Nov;68(11):959-67.
  • Herrero-Puente P, Marino-Genicio R, Martín-Sánchez FJ, Vázquez-Alvarez J, Jacob J, Bermudez M, Llorens P, Miró O, Pérez-Durá MJ, Gil V, Alonso-Morilla A; Members of the ICA-SEMES group (Annex 1). Characteristics of acute heart failure in very elderly patients – EVE study (EAHFE very elderly). Eur J Intern Med. 2014 Jun;25(5):463-70.
  • Miró Ò, Tost J, Herrero P, Jacob J, Martín-Sánchez FJ, Gil V, Fernández-Pérez C, Escoda R, Llorens P; ICA-SEMES Research Group. Short-term predictive capacity of two different triage systems in patients with acute heart failure: TRICA-EAHFE study. Eur J Emerg Med. 2016 Dec;23(6):435-441.
  • Miró Ò, Müller C, Martín-Sánchez FJ, Bueno H, Mebazaa A, Herrero P, Jacob J, Gil V, Escoda R, Llorens P; ICA-SEMES Research Group. BETAWIN-AHF study: effect of beta-blocker withdrawal during acute decompensation in patients with chronic heart failure. Clin Res Cardiol. 2016 Dec;105(12):1021-1029.
  • Miró Ò, Gil V, Müller C, Mebazaa A, Bueno H, Martín-Sánchez FJ, Herrero P, Jacob J, Llorens P. How does a clinical trial fit into the real world? The RELAX-AHF study population into the EAHFE registry. Clin Res Cardiol. 2015 Oct;104(10):850-60.
  • Martín-Sánchez FJ, Marino-Genicio R, Rodríguez-Adrada E, Jacob J, Herrero P, Miró O, Llorens P, Ribera-Casado JM; ICA-SEMES Group. Management of acute heart failure in Spanish emergency departments based on age. Rev Esp Cardiol (Engl Ed). 2013 Sep;66(9):715-20.
  • Llorens P, Miró Ò, Herrero P, Martín-Sánchez FJ, Jacob J, Valero A, Alonso H, Pérez-Durá MJ, Noval A, Gil-Román JJ, Zapater P, Llanos L, Gil V, Perelló R. Clinical effects and safety of different strategies for administering intravenous diuretics in acutely decompensated heart failure: a randomised clinical trial. Emerg Med J. 2014 Sep;31(9):706-13.
  • Llorens P, Sánchez M, Herrero P, Martín-Sánchez FJ, Piñera P, Miró O; COPED study investigators..The utility of copeptin in the emergency department for non-ST-elevation myocardial infarction rapid rule out: COPED-MIRRO study. Eur J Emerg Med. 2014 Jun;21(3):220-9.
  • Sánchez M, Llorens P, Herrero P, Martín-Sanchez FJ, Piñera P, Miró Ò; COPEP study investigators. The utility of copeptin in the emergency department as a predictor of adverse outcomes in non-ST-elevation acute coronary syndrome: the COPED-PAO study. Emerg Med J. 2014 Apr;31(4):286-91.
  • Pérez Regueiro I, Mosteiro Díaz MP, Herrero Puente P, Argüelles Luis J, Campa García AM, García Fernández JA. Efectividad del dispositivo de generación de presión positiva continua en la vía aérea (CPAP) de Boussignac® en los pacientes con insuficiencia respiratoria aguda atendidos por un servicio de emergencias médicas. 2016;28:26-30.
  • Carbajosa V, Martín-Sánchez FJ, Llorens P, Herrero P, Jacob J, Alquézar A, Pérez-Durá MJ, Alonso H, Garrido JM, Torres-Murillo JM, López-Grima MI, Piñera P, Fernández C, Miró O. Factores asociados a estancias cortas en los pacientes ingresados por insuficiencia cardiaca aguda. Emergencias. 2016;28:366-374.
  • Miró O, Escoda R, Martín-Sánchez FJ, Herrero P, Jacob J, Alquézar A, Aguirre A, Gil V, Andueza JA, Llorens P. Calidad percibida por los pacientes con insuficiencia cardiaca aguda respecto a la atención recibida en urgencias: estudio CALPERICA. Emergencias. 2015;27:161-168.
  • Llorens P, Manito Lorite N, Manzano Espinosa L, Martín-Sánchez FJ, Comín Colet J, Formiga F, Jacob J, Delgado Jiménez J, Herrero P, Montero-Pérez-Barquero M, López De Sa Areses E, Pérez Calvo JI, Masip J, Miró O. Consenso para la mejora de la atención integral a los pacientes con insuficiencia cardiaca aguda. Emergencias. 2015;27:245-266
  • Herrero-Puente P, Prieto-García B, García-García M, Jacob J, Martín-Sánchez FJ, Pascual-Figal D, Bueno H, Gil V, Llorens P, Vázquez-Alvarez J, Romero-Pareja R, Sanchez-Gonzalez M, Miró Ò. Predictive capacity of a multimarker strategy to determine short-term mortality in patients attending a hospital emergency Department for acute heart failure. BIO-EAHFE study. Clin Chim Acta. 2017; 466:22-30.
  • Herrero-Puente P, Prieto-García B, García-García M, Llorens P, Martín-Sánchez FJ, Jacob J, Mebazaa A, Mueller C, Maisel AS, Gil V, García-Hernandez P, Miró Ò. The relationship of circulating relaxin-2 concentrations with short-term prognosis in patients with acute heart failure: the RELAHF study. Eur J Heart Fail. 2017 Sep;19(9):1205-1209.
  • Martín-Sánchez FJ, Rodríguez-Adrada E, Vidan MT, Llopis García G, González Del Castillo J, Rizzi MA, Alquezar A, Piñera P, Lázaro Aragues P, Llorens P, Herrero P, Jacob J, Gil V, Fernández C, Bueno H, Miró Ò; Representing the members of the OAK Register Investigators. Impact of Frailty and Disability on 30-Day Mortality in Older Patients With Acute Heart Failure. Am J Cardiol. 2017 Oct 1;120(7):1151-1157. doi: 10.1016/j.amjcard.2017.06.059.
  • Miró Ò, Llorens P, Escalada X, Herrero P, Jacob J, Gil V, Xipell C, Sánchez C, Aguiló S, Martín-Sánchez FJ; Grupo de Investigación ICA-SEMES. Prehospital emergency care of patients with acute heart failure in Spain: the SEMICA study (Emergency Medical Response Systems for Patients with Acute Heart Failure). 2017; 29 :223-230.
  • Miró Ò, Carbajosa V, Peacock WF, Llorens P, Herrero P, Jacob J, Collins SP, Fernández C, Pastor AJ, Martín-Sánchez FJ; ICA-SEMES group. The effect of a short-stay unit on hospital admission and length of stay in acute heart failure: REDUCE-AHF study. Eur J Intern Med. 2017 May;40:30-36. doi: 10.1016/j.ejim.2017.01.015.
  • Miró Ò, Gil V, Xipell C, Sánchez C, Aguiló S, Martín-Sánchez FJ, Herrero P, Jacob J, Mebazaa A, Harjola VP, Llorens P; ICA-SEMES Research Group. IMPROV-ED study: outcomes after discharge for an episode of acute-decompensated heart failure and comparison between patients discharged from the emergency department and hospital wards. Clin Res Cardiol. 2017;106:369-378.
Principal Investigator Title Funding Body Reference No Duration Amount
Pablo Herrero Puente Factors associated with 30-day and 1-year mortality in patients with acute heart failure (ACF) treated in hospital accident and emergency departments. Instituto de Salud Carlos III PI10/01918 2010-2014 €64,130
Supervisors Title PhD Student Organisation Date of Viva
María Belén Prieto GarcíaFrancisco Vicente Álvarez Menéndez Assessment of the prognostic value of copeptin, mid-regional pro-adrenomedullin and interleukin 6 in patients with acute heart failure. María García García Universidad de Oviedo 9/10/2017


A Multicentre, Open-Label, Randomised Controlled Trial Comparing Midazolam Versus Morphine in Acute Pulmonary Edema MIMO Trial

  • Protocol Code: MIMO/2016
  • EudraCT Number: 2016-000884-17