Iron deficiency and supplementation in patients with heart failure: Results from the IRON ‐ HF international survey - Université de Lorraine Accéder directement au contenu
Article Dans Une Revue European Journal of Heart Failure Année : 2024

Iron deficiency and supplementation in patients with heart failure: Results from the IRON ‐ HF international survey

Piero Gentile
  • Fonction : Auteur
Marco Marini
  • Fonction : Auteur

Résumé

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 and results 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.
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Dates et versions

hal-04636440 , version 1 (05-07-2024)

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Massimiliano Camilli, Federico Ballacci, Valentina Alice Rossi, Antonio Cannatà, Luca Monzo, et al.. Iron deficiency and supplementation in patients with heart failure: Results from the IRON ‐ HF international survey. European Journal of Heart Failure, In press, ⟨10.1002/ejhf.3356⟩. ⟨hal-04636440⟩
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