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January 31, 2021ESC Heart FailureOpen Access

Iron deficiency in patients with HFpEF was associated with a higher risk of combined all-cause mortality and HF hospitalization over 4 years (log rank P=0.008).

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Why the study?

Whether and how iron deficiency impacts patients with HFpEF remains unclear.

Does iron deficiency worsen prognosis and exercise capacity in patients with heart failure with preserved ejection fraction?

Population

300 HFpEF patients

Comparison

Iron deficiency vs no iron deficiency

Follow-up

4 years

Key result

Iron deficiency in patients with HFpEF was associated with a higher risk of combined all-cause mortality and HF hospitalization over 4 years (log rank P=0.008).

Authors

AAArantxa Barandiarán AizpuruaSWSandra Sanders‐van WijkHRHans‐Peter Brunner‐La Rocca

Discussion

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Overview

Supports risk stratification by iron status in HFpEF; leaves open whether repletion improves outcomes.

Study Design

Type

Cohort (n=300)

Structured PICO

Does iron deficiency worsen prognosis and exercise capacity in patients with heart failure with preserved ejection fraction?

P
Population
300 patients with heart failure with preserved ejection fraction, 53% of whom had iron deficiency, followed for 4 years.
E
Exposure
Iron deficiency (defined as serum ferritin <100 μg/L or 100-300 μg/L and transferrin-saturation <20%)
C
Comparator
Patients without iron deficiency
O
Outcome
Combined endpoint of all-cause mortality and HF hospitalizationcomposite

Main Result

p-value: p=0.008

In patients with HFpEF, iron deficiency is associated with a worse long-term prognosis regarding mortality and heart failure hospitalization, though its apparent impact on exercise capacity is multifactorial and confounded by comorbidities like pulmonary hypertension.

Cite This Study

Aizpurua et al. (2021) conducted a cohort in Heart failure with preserved ejection fraction (HFpEF) (n=300). Iron deficiency vs. No iron deficiency was evaluated on Combined all-cause mortality and HF hospitalization (p=0.008). Iron deficiency in patients with HFpEF was associated with a higher risk of combined all-cause mortality and HF hospitalization over 4 years (log rank P=0.008).

synapsesocial.com/papers/6a5f13d93ded86b8acaf02d3https://doi.org/10.1002/ehf2.13204
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