Evidence map›Paper›PMID 41526605›Full record

Trial reportScientific reports2026

Changes in platelet count as a marker of myocardial iron uptake after administration of ferric carboxymaltose in patients with heart failure.

Anna Mollar, Celia García-Conejo, Elena Revuelta-López, Ingrid Cardells, Raquel López, Irene Del Canto, Rafael de la Espriella, Maria P Lopez-Lereu, Jose Vicente Monmeneu, Alicia Maceira and 6 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

16 authors.

Anna MollarDepartment of Cardiology, Hospital Clínico Universitario de Valencia, INCLIVA, Avda. Blasco Ibáñez 17., 46010, Valencia, Spain.
Celia García-ConejoDepartment of Physiotherapy, University of Malaga, Malaga, Spain.
Elena Revuelta-LópezCIBER Cardiovascular, Madrid, Spain.
Ingrid CardellsDepartment of Cardiology, Hospital de Manises, Valencia, Spain.
Raquel LópezDepartment of Cardiology, Hospital Universitario La Fe, Valencia, Spain.
Irene Del CantoDepartment of Cardiology, Hospital Clínico Universitario de Valencia, INCLIVA, Avda. Blasco Ibáñez 17., 46010, Valencia, Spain.
Rafael de la EspriellaDepartment of Cardiology, Hospital Clínico Universitario de Valencia, INCLIVA, Avda. Blasco Ibáñez 17., 46010, Valencia, Spain.
Maria P Lopez-LereuCardiovascular Imaging Unit Ascires Biomedical Group Valencia, Valencia, Spain.
Jose Vicente MonmeneuCardiovascular Imaging Unit Ascires Biomedical Group Valencia, Valencia, Spain.
Alicia MaceiraCardiovascular Imaging Unit Ascires Biomedical Group Valencia, Valencia, Spain.
Samira Lakhal-LittletonDepartment of Physiology, Anatomy & Genetics, University of Oxford, Sherrington Building, Parks Road, Oxford, OX1 3PT, UK.
Luis AlmenarDepartment of Cardiology, Hospital Universitario La Fe, Valencia, Spain.
Aleix CasesHospital Clinic Barcelona, Barcelona, Spain.
Marta PeiróDepartment of Medicine, University of Valencia, Valencia, Spain.
Antoni Bayés-GenísCIBER Cardiovascular, Madrid, Spain.
Julio NúñezDepartment of Cardiology, Hospital Clínico Universitario de Valencia, INCLIVA, Avda. Blasco Ibáñez 17., 46010, Valencia, Spain. yulnunez@gmail.com.

Funding

Centro de Investigación Biomédica en Red Enfermedades Cardiovasculares grant numbers 16/11/00420 and 16/11/00403Unidad de Investigación Clínica y Ensayos Clínicos INCLIVA Health Research Institute, Spanish Clinical Research Network SCReN; PT13/0002/0031 and PT17/0017/0003
6 · The paper itself

Abstract

Iron deficiency (ID) treated with ferric carboxymaltose (FCM) previously showed reduced platelet count; however, no studies have evaluated its biological significance in heart failure. In the current study, we aimed to: (a) assess the changes in platelet count at 7 and 30 days post-FCM, and (b) explore its association with non-invasive surrogates of myocardial iron uptake and left systolic function in patients with ID and heart failure with left ventricular ejection fraction < 50% (HFrEF and HFmrEF). This post-hoc analysis of a randomized, double-blind, FCM vs. placebo clinical trial (Myocardial-IRON Trail) involved 45 outpatients with HFrEF and HFmrEF and ID in which the platelet count value was available. Platelet count, cardiac magnetic resonance T1-mapping and 3D-global longitudinal strain (CMR-GLS) were assessed at baseline, 7, and 30 days. Linear regression models were used to evaluate the between-treatment differences and endpoints. The mean (SD) age was 71 ± 8 years, and 32 (71%) were men. At 30 days, we found a significant reduction in platelet count in those treated with FCM (p-value = 0.027). In those treated with FCM, the greater 30-day decrease in platelets showed lower 30-day changes in T1-mapping (p = 0.024) and CMR-GLS (p = 0.028). After administration of FCM, we found a significant 30-day reduction in platelet count. The greater platelet count reduction was related to lower myocardial iron repletion and a smaller improvement in left ventricular systolic function.

Indexed as

Ferric CompoundsHeart FailureIronMaltoseMyocardiumAgedBiomarkersDouble-Blind MethodFemaleGlobal Longitudinal StrainHumansMagnetic Resonance ImagingMalePlatelet CountStroke VolumeBiomarkersferric carboxymaltoseFerric CompoundsIronMaltoseCardiac magnetic resonance global longitudinal strainHeart failureIron deficiencyMyocardial iron repletionPlatelet count

Identifiers

PMID41526605
PMCPMC12876854

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.