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Background. Current Perspectives on the Management of Iron Deficiency in Chronic Heart Failure.

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Presentation on theme: "Background. Current Perspectives on the Management of Iron Deficiency in Chronic Heart Failure."— Presentation transcript:

1 Current Perspectives on the Management of Iron Deficiency in Chronic Heart Failure

2 Background

3 Program Overview

4 The Impact of Iron Deficiency in Chronic Heart Failure

5 ID vs Anemia in CHF

6 Prevalence of ID in Patients With CHF

7 ID Is Common Irrespective of Ethnicity, Sex, or Anemia Status

8 Causes of ID in CHF -- Absolute and Functional

9 Common Iron Deficit in Patients With CHF

10 Impact of ID in Patients With CHF

11 Impact of ID in Patients With CHF (cont)

12 ID Impairs Mitochondrial Function

13 Summary

14 Treating Iron Deficiency in Chronic Heart Failure

15 Correction of ID as a Therapeutic Target in HF

16 FAIR-HF: Study Design

17 FAIR-HF: Co-Primary Endpoints

18 FAIR-HF: 6MWT Secondary Endpoint

19 CONFIRM-HF: Study Design

20 CONFIRM-HF: Primary Endpoint

21 EFFECT-HF: Study Design

22 EFFECT-HF: Primary Endpoint Change in Peak VO2

23 Meta-Analysis: Time to First Event Outcomes

24 Oral Iron Replacement Does Not Work in HF

25 ESC Guidelines for the Diagnosis and Treatment of HF

26 Recent and Ongoing Trials in Iron Replacement Therapy

27 4 Ongoing Large RCTs in Patients With HF

28 AFFIRM-AHF

29 FAIR-HF2

30 HEART-FID

31 IRONMAN

32 Potential Mechanism of Action of IV Iron

33 Effect of ID and Iron Supplementation on Cardiomyoctye Function

34 Summary

35 Iron Deficiency in Chronic Heart Failure Across the Spectrum of Ejection Fraction

36 Classification of HF According to EF

37 Prevalence of ID Across EF Spectrum of HF

38 ESC Recommendations Largely For HFrEF

39 Most Trial Data Based on Patients With HFrEF

40 Ongoing Trials With IV FCM in HF

41 Conclusion

42 Does Ejection Fraction Matter?

43 Diagnosing Patients With HFpEF

44 Managing Patients With HFpEF

45 Effect of ID on Patients With HFpEF

46 The Need for Trials on Patients With HFpEF and ID

47 FAIR-HFpEF Trial

48 FAIR-HFpEF Trial (cont)

49 Summary

50 Abbreviations

51 Abbreviations (cont)

52 Abbreviations (cont)


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