Evidence map›Paper›PMID 34964300›Full record

ArticleESC heart failure2022

Impact of intravenous ferric carboxymaltose on heart failure with preserved and reduced ejection fraction.

Raquel López-Vilella, Silvia Lozano-Edo, Patricia Arenas Martín, Pablo Jover-Pastor, Meryem Ezzitouny, José Sorolla Romero, María Calvo Asensio, Julia Martínez-Solé, Borja Guerrero Cervera, José Carlos Sánchez Martínez and 4 more

Open access · goldAbstract read
In one paragraph

Article in ESC heart failure, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Heart failure with preserved ejection fraction: diagnosis, risk assessment, and treatment.Clinical research in cardiology : official journal of the German Cardiac Society · 2024
    Review
  9. Article
  10. Review
  11. Review
  12. Iron Dyshomeostasis and Mitochondrial Function in the Failing Heart: A Review of the Literature.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2024
    Review
  13. Evaluation of a pharmacist-provider collaborative clinic for treatment of iron deficiency in patients with heart failure.American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists · 2023
    Article
  14. Review
  15. Review
  16. Treatment of Iron Deficiency in Heart Failure.Current cardiology reports · 2023
    Review
  17. Review
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 3 institutions in 1 country.

Raquel López-VilellaHeart Failure and Transplantation Unit, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Silvia Lozano-EdoDepartment of Cardiology, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Patricia Arenas MartínDepartment of Cardiology, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Pablo Jover-PastorDepartment of Cardiology, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Meryem EzzitounyDepartment of Cardiology, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
José Sorolla RomeroDepartment of Cardiology, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
María Calvo AsensioDepartment of Cardiology, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Julia Martínez-SoléDepartment of Cardiology, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Borja Guerrero CerveraDepartment of Cardiology, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
José Carlos Sánchez MartínezDepartment of Cardiology, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Víctor Donoso TrenadoHeart Failure and Transplantation Unit, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Ignacio Sánchez-LázaroHeart Failure and Transplantation Unit, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Luis Martinez DolzDepartment of Cardiology, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Luis Almenar BonetHeart Failure and Transplantation Unit, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Hospital Universitari i Politècnic La Fe · ESCentro de Investigación Biomédica en Red · ESCentro de Investigación en Red en Enfermedades Cardiovasculares · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsHeart failure (HF) is a proinflammatory disease often associated with the onset of iron deficiency (ID). ID alters mitochondrial function, reducing the generation of cellular energy in skeletal muscle and cardiomyocytes. This study aimed to analyse the response of patients with HF to intravenous iron administration according to the type of HF: preserved ejection fraction (HFpEF) or reduced ejection fraction (HFrEF). METHODS AND

resultsWe conducted a retrospective, single-centre study of 565 consecutive outpatients diagnosed with HF, recruited over 5 years, who were given intravenous ferric carboxymaltose (FCM) for the treatment of ID [defined as ferritin < 100 μg/L or ferritin 100-300 μg/L with transferrin saturation (TSAT) < 20%]. Clinical, laboratory, and echocardiographic parameters were analysed before and after administration. After FCM administration, overall ferritin, TSAT, and haemoglobin levels increased up to 5-fold, 1.6-fold, and 1.1-fold, respectively, relative to baseline values in HF patients with reduced and preserved ejection fraction (P < 0.0001), with a greater increase in ferritin and TSAT in HFpEF patients. The left ventricular ejection fraction of the overall series improved by 8 percentage points in both types of HF (from 40% to 48%, P < 0.0001). The percentage of patients with normalization of right ventricular function increased by 6.9 points (from 74.1% to 81%) in HFpEF patients and by 6.4 points (from 53% to 59.4%) in the HFrEF subgroup (P < 0.0001). New York Heart Association functional status slightly improved, from a median of 2.4 (interquartile range, IQR: 2-2.7) to 1.9 (IQR: 1.5-2.5; P < 0.0001) after FCM in both types of HF. No changes were noted in plasma levels of liver enzymes, creatinine, or natriuretic peptide (P > 0.05).

conclusionsIntravenous iron administration appeared to improve ejection fraction and cardiac functional status in outpatients with ID and HF with both preserved and reduced ejection fraction.

Indexed as

Heart FailureFerric CompoundsHumansMaltoseRetrospective StudiesStroke VolumeVentricular Function, Leftferric carboxymaltoseFerric CompoundsMaltoseFerric carboxymaltoseFerritinHeart failureIron deficiencyPreserved ejection fractionReduced ejection fraction

Identifiers

PMID34964300
PMCPMC8788053
OpenAlexW4200055358

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.