Heart failure & cardiomyopathiesCohort study

Erythropoietic Response After Intravenous Iron in Patients with Heart Failure and Reduced Ejection Fraction with and Without Background Treatment with Sodium–Glucose Cotransporter 2 Inhibitors

Eur J Heart FailPublished

  • Retrospective cohort study
  • single-centre
  • matched for age and sex

Authors' conclusion

Combined treatment with IV iron and background SGLT2i was associated with a greater increase in haemoglobin and haematocrit than IV iron without background SGLT2i.

Study context

Population
Heart failure with reduced ejection fraction (HFrEF) patients with iron deficiency treated with intravenous (IV) ironmatched cohort
Participants
60 vs 60
Exposure
IV iron with background SGLT2i vs IV iron without SGLT2i
  • SGLT2i usersn = 60
  • SGLT2i non-usersn = 60reference
Outcome
Changes in haemoglobin, haematocrit and iron biomarkers

Main finding

As reported in the abstract

haemoglobin; adjusted for all baseline differences
difference +0.57 g/dl (95% CI 0.04–1.10); P = 0.036
haematocrit; adjusted for all baseline differences
difference +1.64 % (95% CI 0.18–3.11); P = 0.029

Observational data: associations, not effects.

Secondary outcomes

Natriuretic peptides, kidney function, HF-associated outcomes

No significant differences

Original publication

Erythropoietic Response After Intravenous Iron in Patients with Heart Failure and Reduced Ejection Fraction with and Without Background Treatment with Sodium–Glucose Cotransporter 2 Inhibitors. Eur J Heart Fail. Published 24 August 2023. doi:10.1002/ejhf.2992

Summarised from the published abstract; every number is checked against it