Heart failure & cardiomyopathies

Association of Anaemia on Heart Failure and Left Ventricular Function: A Bidirectional Mendelian Randomization Study

ESC Heart FailPublished Bidirectional Mendelian randomization study

Main finding · HF risk (genetically predicted anaemia)Result — go to the resultOdds ratio 1.12 95% CI 1.04–1.20

Authors' conclusion

This MR study supports the genetic evidence that there is bidirectional causality between anaemia and the risk of HF as well as anaemia may cause left ventricular hypertrophy and enlargement of the left atrium.

Study context

Comparison
Genetically predicted anaemia and heart failure (HF) risk, LV structure and function; reverse direction HF on anaemia
Outcome
HF risk
Methodological detailsreverse-direction Mendelian randomization (MR) analysis
  • Reverse-direction MR analysis

Main finding

HF risk (genetically predicted anaemia)

Odds ratio

1.12

95% CI 1.04–1.20

P = 0.002

Genetically predicted anaemia
OR 1.12 (95% CI 1.04–1.20); P = 0.002

As reported in the abstract

Further findings

Anaemia risk (genetic susceptibility to HF; reverse-direction MR)

OR (95% CI)P value
Genetic susceptibility to HFMeta1.40 (1.24–1.59)P = 1.79 × 10-7
Outcomeβ (95% CI)P value
LV structure and function (genetically predicted anaemia)Genetically predicted anaemia · LV mass index1.051 (0.384–1.718)P = 0.002
LV structure and function (genetically predicted anaemia)Genetically predicted anaemia · LV mass2.063 (0.578–3.547)P = 0.006
LV structure and function (genetically predicted anaemia)Genetically predicted anaemia · left atrial minimum volume0.076 (0.008–0.143)P = 0.028
LV structure and function (genetically predicted anaemia)Genetically predicted anaemia · left atrial maximum volume0.090 (0.023–0.157)P = 0.009

Original publication

Association of Anaemia on Heart Failure and Left Ventricular Function: A Bidirectional Mendelian Randomization Study. ESC Heart Fail. Published 20 November 2023. doi:10.1002/ehf2.14579

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