Heart failure & cardiomyopathies

Intravenous Iron Therapy for Heart Failure and Iron Deficiency: An Updated Meta-Analysis of Randomized Clinical Trials

ESC Heart FailPublished Systematic review and meta-analysis of randomised trials

Pooled result · First HHF or CV mortalityResult — go to the resultOdds ratio 0.73 95% CI 0.58–0.92

Authors' conclusion

In patients with HF and iron deficiency, IV iron therapy reduced the incidence of composite of first HHF or CV mortality.

Study context

Population
Patients with heart failure (HF) and iron deficiency
Participants
6,651 patients14 randomized controlled trials (RCTs)
Comparison
Intravenous (IV) iron vs placebo or standard of care
Outcome
Composite of:
  • First HF hospitalisation (HHF)
  • CV mortality
Methodological detailsrandom-effects model, Search of PubMed/MEDLINE, Embase and Cochrane Library to 15 September 2023
  • Random-effects model
  • Search of PubMed/MEDLINE, Embase and Cochrane Library to 15 September 2023

Pooled result

First HHF or CV mortality

Odds ratio

0.73

95% CI 0.58–0.92

IV ironvs Control
OR 0.73 (95% CI 0.58–0.92)

As reported in the abstract

Further pooled results

OutcomeOR (95% CI)
CV mortalityTrend0.88 (0.76–1.01)
All-cause mortality · 1 yearTrend0.85 (0.71–1.02)
First HHFTrend0.73 (0.51–1.05)
OutcomeMD (95% CI)
LVEFTrend4.54 (−0.13 to 9.21)

Meta-regression: baseline left ventricular ejection fraction (LVEF) on first HHF or cardiovascular (CV) death

Significant inverse moderating effect of baseline LVEF

Original publication

Intravenous Iron Therapy for Heart Failure and Iron Deficiency: An Updated Meta-Analysis of Randomized Clinical Trials. ESC Heart Fail. Published 4 July 2024. doi:10.1002/ehf2.14905

Composed by AI from the published abstract and checked against it. How Briefs are made →

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