Evidence mapPaperPMID 42455387Full record

ReviewHeart failure reviews2026

Ironing Out the Details: Advancing Diagnosis and Treatment of Iron Deficiency in Patients with Heart Failure with Preserved Ejection Fraction - A Narrative Review.

Shanshan Gustafson, Soham R Patel, Marat Fudim, Robert J Mentz, Andrew J Sauer, Anuradha Lala, Josephine A Harrington, Ambarish Pandey, Jana Svetlichnaya, Jesse K Fitzpatrick and 3 more

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In one paragraph

Review in Heart failure reviews, 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

13 authors.

Shanshan GustafsonDepartment of Cardiology, Kaiser Permanente San Francisco Medical Center, San Francisco, CA, USA.
Soham R PatelDepartment of Medicine, Kaiser Permanente San Francisco Medical Center, San Francisco, CA, USA.
Marat FudimDivision of Cardiology, Duke University Medical Center, Durham, NC, USA.
Robert J MentzDivision of Cardiology, Duke University Medical Center, Durham, NC, USA.
Andrew J SauerDepartment of Cardiovascular Medicine, University of Kansas School of Medicine, Kansas City, KS, USA.
Anuradha LalaThe Mount Sinai Fuster Heart Hospital, Icahn School of Medicine, New York, NY, USA.
Josephine A HarringtonDivision of Cardiology, University of Colorado and the Colorado Prevention Center Denver, Aurora, CO, USA.
Ambarish PandeyDivision of Cardiology, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Jana SvetlichnayaDepartment of Cardiology, Kaiser Permanente San Francisco Medical Center, San Francisco, CA, USA.
Jesse K FitzpatrickDepartment of Cardiology, Kaiser Permanente San Francisco Medical Center, San Francisco, CA, USA.
Ankeet S BhattDepartment of Cardiology, Kaiser Permanente San Francisco Medical Center, San Francisco, CA, USA.
Zara FatimaDivision of Research, Kaiser Permanente Northern California, Pleasanton, CA, USA.
Andrew P AmbrosyDepartment of Cardiology, Kaiser Permanente San Francisco Medical Center, San Francisco, CA, USA. andrew.p.ambrosy@kp.org.

Funding

Harnessing Artificial Intelligence and Deep Learning to Determine a Coronary Artery Calcium Estimate in Patients with No History of AtheroSclerotic CardioVascular Disease (HIDDEN-ASCVD) StudyR01HL173866 · KAISER FOUNDATION RESEARCH INSTITUTE · 2025 to 2025
$3.9M
DEPRESCRIBE-HFPEFR01AG091005 · WEILL MEDICAL COLL OF CORNELL UNIV · 2025 to 2025
$699k
FDA HHS U01 FD008704NHLBI NIH HHS R01 HL173866NIA NIH HHS R01 AG091005
6 · The paper itself

Abstract

Iron deficiency (ID) is a highly prevalent and clinically significant comorbidity in heart failure with preserved ejection fraction (HFpEF), affecting 40-60% of patients. Independent of anemia, ID is associated with reduced exercise capacity, diminished quality of life (QoL), and increased healthcare utilization. Although intravenous (IV) iron therapy has demonstrated consistent benefits in HF with reduced ejection fraction (HFrEF), including improvements in symptoms, QoL, functional status, and reductions in hospitalizations, its role in HFpEF remains incompletely defined. This review synthesizes the epidemiology, pathophysiologic mechanisms, and diagnostic challenges of ID in HFpEF, with particular attention to emerging data for IV iron supplementation in this clinical setting. It summarizes recent and ongoing clinical trials, highlights limitations of current diagnostic criteria, and outlines innovative strategies, including pragmatic trial designs, patient-reported outcomes, and wearable technologies, to evaluate therapeutic response in this heterogeneous population. Together, these insights provide a roadmap for improving the diagnosis and management of ID in HFpEF and addressing a significant unmet clinical need in this growing patient population.

Indexed as

Anemia, Iron-DeficiencyHeart FailureIronIron DeficienciesQuality of LifeStroke VolumeHumansIronHeart failure with preserved ejection fractionIntravenous iron therapyIron deficiencyPatient-reported outcomes

Identifiers

What Socratic holds

Textmetadata
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.