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Published byCsenge Szekeres Modified over 5 years ago
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Current Perspectives on the Management of Iron Deficiency in Chronic Heart Failure
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Background
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Program Overview
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The Impact of Iron Deficiency in Chronic Heart Failure
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ID vs Anemia in CHF
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Prevalence of ID in Patients With CHF
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ID Is Common Irrespective of Ethnicity, Sex, or Anemia Status
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Causes of ID in CHF -- Absolute and Functional
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Common Iron Deficit in Patients With CHF
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Impact of ID in Patients With CHF
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Impact of ID in Patients With CHF (cont)
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ID Impairs Mitochondrial Function
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Summary
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Treating Iron Deficiency in Chronic Heart Failure
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Correction of ID as a Therapeutic Target in HF
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FAIR-HF: Study Design
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FAIR-HF: Co-Primary Endpoints
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FAIR-HF: 6MWT Secondary Endpoint
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CONFIRM-HF: Study Design
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CONFIRM-HF: Primary Endpoint
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EFFECT-HF: Study Design
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EFFECT-HF: Primary Endpoint Change in Peak VO2
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Meta-Analysis: Time to First Event Outcomes
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Oral Iron Replacement Does Not Work in HF
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ESC Guidelines for the Diagnosis and Treatment of HF
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Recent and Ongoing Trials in Iron Replacement Therapy
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4 Ongoing Large RCTs in Patients With HF
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AFFIRM-AHF
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FAIR-HF2
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HEART-FID
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IRONMAN
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Potential Mechanism of Action of IV Iron
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Effect of ID and Iron Supplementation on Cardiomyoctye Function
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Summary
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Iron Deficiency in Chronic Heart Failure Across the Spectrum of Ejection Fraction
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Classification of HF According to EF
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Prevalence of ID Across EF Spectrum of HF
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ESC Recommendations Largely For HFrEF
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Most Trial Data Based on Patients With HFrEF
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Ongoing Trials With IV FCM in HF
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Conclusion
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Does Ejection Fraction Matter?
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Diagnosing Patients With HFpEF
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Managing Patients With HFpEF
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Effect of ID on Patients With HFpEF
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The Need for Trials on Patients With HFpEF and ID
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FAIR-HFpEF Trial
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FAIR-HFpEF Trial (cont)
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Summary
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Abbreviations
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Abbreviations (cont)
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Abbreviations (cont)
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