Iron deficiency and supplementation in patients with heart failure: Results from the IRON-HF international survey.
Eur J Heart Fail
; 2024 Jul 04.
Article
en En
| MEDLINE
| ID: mdl-38962833
ABSTRACT
AIMS:
Iron deficiency (ID) is common in patients with heart failure (HF) and is associated with poor outcomes, regardless of anaemia status. Iron supplementation has been demonstrated to improve exercise capacity and quality of life in patients with HF with an ejection fraction <50% and ID. This survey aimed to provide data on real-world practices related to ID screening and management. METHODS ANDRESULTS:
We designed and distributed an online survey (23 questions) regarding ID screening and management in the HF setting. Overall, 256 cardiologists completed the survey (59.8% male, mostly between 30 and 50 years). The majority of physicians defined ID according to the most recent HF recommendations (98.4%) and reported screening for ID in more than half of their patients (68.4%). However, only 54.3% of the respondents performed periodic screening (every 6 months to 1 year). A total of 93.0% of participants prescribed and/or administered iron supplementation, using intravenous iron as the preferred method of administration (86.3%). After iron supplementation, 96.1% of the respondents reassessed ID, most frequently at 3-6 months (67.6%). Most physicians (93.8%) perceived ID as an underestimated comorbidity in HF. Cardiologists' age, training status, subspecialty and work setting (academic vs. non-academic hospitals) were associated with heterogeneity in the answers.CONCLUSIONS:
The results of this survey highlight the need for more consistent strategies of ID screening and treatment for patients with HF.
Texto completo:
1
Colección:
01-internacional
Idioma:
En
Revista:
Eur J Heart Fail
/
Eur. j. heart fail
/
European journal of heart failure
Asunto de la revista:
CARDIOLOGIA
Año:
2024
Tipo del documento:
Article
País de afiliación:
Italia