Heart failure & cardiomyopathies

Plasma Ferritin Levels, Incident Heart Failure, and Cardiac Structure and Function: The ARIC Study

JACC Heart FailPublished Prospective cohort study

Authors' conclusion

Among older adults without prevalent HF or anemia, lower plasma ferritin level is associated with a higher risk for incident HF, HFpEF, and higher measures of left ventricular filling pressure.

Study context

Population
Older adults in the ARIC study free of prevalent heart failure (HF) and anemiamean age 75 ± 5 years
Participants
3,472 adults
Exposure
Lower vs higher plasma ferritin level
Outcome
Incident HF overall, heart failure with preserved ejection fraction (HFpEF) and HFrEF; echocardiographic cardiac structure and function
Methodological detailslongitudinal, fully adjusted Cox proportional hazards models
  • Longitudinal
  • Fully adjusted Cox proportional hazards models

Main finding

As reported in the abstract

Incident HF per 50% lower ferritin
Hazard ratio (95% CI)
50% lower ferritinincident HF overall; fully adjusted
1.20(1.08–1.34)
Lower ferritinincident HFpEF; fully adjusted
1.28(1.09–1.50)

Per 50% lower ferritin, as printed

Observational data: associations, not effects.

Further findings

Echocardiographic cardiac structure and function (cross-sectional)

Lower ferritin associated with higher E/e' ratio and higher pulmonary artery systolic pressure
No association with LV structure or systolic function
  • Adjusted for demographics and HF risk factors

Original publication

Plasma Ferritin Levels, Incident Heart Failure, and Cardiac Structure and Function: The ARIC Study. JACC Heart Fail. Published 10 January 2024. doi:10.1016/j.jchf.2023.11.009

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