Table 1– Intravenous iron replacement therapy studies in left heart failure patients
First author [ref.]Iron therapyPatient groupPlaceboDurationPrimary effectsSecondary effects
Bolger [16]≤1 g iron–sucroseAnaemic heart failure (n=16)No≤3 monthsHb improvementsImproved symptoms and 6MWD (average change >40 m), no adverse events
Toblli [17]5 weekly 200-mg doses iron–sucroseAnaemic CHF (n=40)1:1 randomisation6 monthsReduced NT-proBNP and CRPImproved symptoms, LVEF and exercise capacity; all 5 hospitalisations were in placebo group
Okonko [18]200 mg·week−1 until ferritin >500 μg·L−1, then fortnightly (total mean±sd 1433±365 mg)CHF (n=35)2:1 randomisation (iron:placebo)12 weeksPeak O2 consumption only raised in anaemiaImproved NYHA class, adverse events similar
Usmanov [19]100 mg three times a week for 3 weeks and then once weekly for 26 weeks (total dose 3200 mg)CHF (NYHA class III/IV) and persistent anaemia (n=32)No26 weeksSignificant improvements in LV function and structureHalf of class III patients improved to class II, no improvement from class IV
Anker [20]Fortnightly 200 mg ferric carboxymaltose until Ganzoni iron deficit replenishedCHF (NYHA class II/III) with iron deficiency and Hb 95–135 g·L−1 (n=459)2:1 randomisation (iron:placebo)24 weeksSignificant improvements in patient self-reported global assessment and NYHA class6MWD increased ∼40 m versus placebo; quality of life improved Improvements irrespective of anaemia; adverse events similar
  • CHF: chronic heart failure; NYHA: New York Heart Association; Hb: haemoglobin; NT-proBNP: N-terminal pro-brain natriuretic peptide; CRP: C-reactive protein; LV: left ventricle; 6MWD: 6-min walk distance; LVEF: LV ejection fraction.