High prevalence of iron deficiency in patients with acute decompensated heart failure

作者: Alain Cohen-Solal , Thibaud Damy , Mohamed Terbah , Sébastien Kerebel , Jean-Philippe Baguet

DOI: 10.1002/EJHF.139

关键词: CardiologyMultivariate analysisInternal medicineAcute decompensated heart failureIn patientIron deficiencyHigh prevalenceDiabetes mellitusHeart failureDecompensationMedicine

摘要: Aims Limited data are available on iron parameters in patients hospitalized for decompensation of chronic heart failure. Methods and results Iron failure were prospectively assessed during the 72 h after hospital admission. Iron deficiency was defined according to 2012 European Society Cardiology Guidelines. Overall, 411 men (75 ± 12 years; 75% NYHA functional classes III/IV) 421 women (81 ± 11 years; 71% evaluated. The prevalence 69% (including 41% 49% with absolute deficiency, respectively). anaemia (<13 g/dL) 68% (<12 g/dL) it 52%. Among non-anaemic patients, 57% 79% women. Only 9% received supplementation at time admission (oral, 9%; intravenous, 0.2%). Multivariate analysis showed that antiplatelet treatment men, diabetes low C-reactive protein women, independently associated deficiency. Conclusions Iron is very common admitted acute decompensated failure, even among patients. Given benefit therapy our results emphasize need assess status not only but more so those worsening regardless gender, severity, or haemoglobin level. Initiating needs be investigated.

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