Evidence map›Paper›PMID 27867532›Full record

ArticleESC heart failure2016

Left ventricular ejection fraction recovery in patients with heart failure treated with intravenous iron: a pilot study.

Julio Núñez, José Vicente Monmeneu, Anna Mollar, Eduardo Núñez, Vicent Bodí, Gema Miñana, Sergio García-Blas, Enrique Santas, Jaume Agüero, Francisco J Chorro and 2 more

Abstract read
In one paragraph

Article in ESC heart failure, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed.

  1. Trial
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  12. Review
  13. Iron deficiency in heart failure.ESC heart failure · 2021
    Review
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  15. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Julio NúñezCardiology Department, Hospital Clínico Universitario, INCLIVA Universitat de Valencia Valencia Spain.
José Vicente MonmeneuUnidad de Imagen Cardiaca (ERESA) Hospital Clínico Universitario de Valencia Valencia Spain.
Anna MollarCardiology Department, Hospital Clínico Universitario, INCLIVA Universitat de Valencia Valencia Spain.
Eduardo NúñezCardiology Department, Hospital Clínico Universitario, INCLIVA Universitat de Valencia Valencia Spain.
Vicent BodíCardiology Department, Hospital Clínico Universitario, INCLIVA Universitat de Valencia Valencia Spain.
Gema MiñanaCardiology Department, Hospital Clínico Universitario, INCLIVA Universitat de Valencia Valencia Spain.
Sergio García-BlasCardiology Department, Hospital Clínico Universitario, INCLIVA Universitat de Valencia Valencia Spain.
Enrique SantasCardiology Department, Hospital Clínico Universitario, INCLIVA Universitat de Valencia Valencia Spain.
Jaume AgüeroDepartment of Epidemiology, Atherothrombosis and Imaging Department Centro Nacional de Investigaciones Cardiovasculares Carlos III (CNIC) Madrid Spain.
Francisco J ChorroCardiology Department, Hospital Clínico Universitario, INCLIVA Universitat de Valencia Valencia Spain.
Juan SanchisCardiology Department, Hospital Clínico Universitario, INCLIVA Universitat de Valencia Valencia Spain.
Maria Pilar López-LereuUnidad de Imagen Cardiaca (ERESA) Hospital Clínico Universitario de Valencia Valencia Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsIn patients with heart failure with reduced ejection fraction (HFrEF) and iron deficiency, treatment with intravenous iron has shown a clinical improvement regardless of anaemic status. Cardiac magnetic resonance (CMR) T2* sequence has shown a potential utility for evaluating myocardial iron deficiency. We aimed to evaluate whether T2* sequence significantly changes after ferric carboximaltose (FCM) administration, and if such changes correlate with changes in left ventricle ejection fraction (LVEF). METHODS AND

resultsIn this pilot study, we included eight patients with chronic symptomatic (New York Heart Association II-III) HFrEF and iron deficiency. A CMR, including T2* analysis, was performed before and at a median of 43 days (interquartile range = 35-48) after intravenous FCM administration. Pearson or Spearman correlation coefficient (r) was used for bivariate contrast as appropriate. A partial correlation analysis was performed between ΔLVEF and ΔT2* while controlling for anaemia status at baseline. Anaemia was present in half of patients. After FCM administration, T2* decreased from a median of 39.5 (35.9-48) to 32 ms (32-34.5),

conclusionsIn a small sample of patients with HFrEF and iron deficiency, myocardial iron repletion assessed by CMR was associated to left ventricular remodelling. Further studies are warranted.

Indexed as

Intravenous ironIron deficiencyLeft ventricular ejection fractionMagnetic resonance imagingSystolic heart failureT2* sequence

Identifiers

PMID27867532
PMCPMC5107972

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.