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Iron deficiency and short-term adverse events in patients with decompensated heart failure
- Source :
- Clinical Research in Cardiology, r-IGTP. Repositorio Institucional de Producción Científica del Instituto de Investigación Germans Trias i Pujol, instname, CLINICAL RESEARCH IN CARDIOLOGY, r-FISABIO: Repositorio Institucional de Producción Científica, Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO), r-FISABIO. Repositorio Institucional de Producción Científica, r-FIHGUV. Repositorio Institucional de Producción Científica de la Fundación de Investigación del Hospital General de Valencia, Clinical research in cardiology : official journal of the German Cardiac Society, r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA, r-IIS La Fe. Repositorio Institucional de Producción Científica del Instituto de Investigación Sanitaria La Fe
- Publication Year :
- 2021
- Publisher :
- Steinkopff, 2021.
-
Abstract
- BACKGROUND: For patients with heart failure (HF), iron deficiency (ID) is a common therapeutic target. However, little is known about the utility of transferrin saturation (TSAT) or serum ferritin for risk stratification in decompensated HF (DHF) or the European Society of Cardiology's (ESC) current definition of ID (ferritin50%. Medians for NT-proBNP, TSAT, and ferritin were 4067pg/mL (1900-8764), 14.1% (9.0-20.3), and 103 ug/L (54-202), respectively. According to the current ESC definition, 1,246 (73.3%) patients had ID. By day 30, there were 177 (10.4%) events (95 deaths and 85 HF readmission). After multivariable adjustment, lower TSAT was associated with outcome (p=0.009) but serum ferritin was not (HR 1.00; 95% confidence interval 0.99-1.00, p=0.347). CONCLUSIONS: Lower TSAT, but not ferritin, was associated with a higher risk of short-term events in patients with DHF. Further research is needed to confirm these findings and the utility of serum ferritin as a marker of ID in DHF.
- Subjects :
- Male
medicine.medical_specialty
Transferrin saturation
030204 cardiovascular system & hematology
Gastroenterology
Patient Readmission
Risk Assessment
03 medical and health sciences
0302 clinical medicine
Risk Factors
Internal medicine
Natriuretic Peptide, Brain
Medicine
Humans
In patient
030212 general & internal medicine
Registries
Adverse effect
Serum ferritin
Aged
Retrospective Studies
Aged, 80 and over
Heart Failure
Ferritin
Acute heart failure, Ferritin, Iron deficiency, Prognosis, Transferrin saturation
biology
business.industry
Iron deficiency
Acute heart failure
Stroke Volume
General Medicine
Iron Deficiencies
medicine.disease
Prognosis
Confidence interval
Peptide Fragments
Heart failure
Ferritins
biology.protein
Cardiology
Transferrins
Female
Cardiology and Cardiovascular Medicine
business
Biomarkers
Subjects
Details
- ISSN :
- 18610684
- Database :
- OpenAIRE
- Journal :
- Clinical Research in Cardiology, r-IGTP. Repositorio Institucional de Producción Científica del Instituto de Investigación Germans Trias i Pujol, instname, CLINICAL RESEARCH IN CARDIOLOGY, r-FISABIO: Repositorio Institucional de Producción Científica, Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO), r-FISABIO. Repositorio Institucional de Producción Científica, r-FIHGUV. Repositorio Institucional de Producción Científica de la Fundación de Investigación del Hospital General de Valencia, Clinical research in cardiology : official journal of the German Cardiac Society, r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA, r-IIS La Fe. Repositorio Institucional de Producción Científica del Instituto de Investigación Sanitaria La Fe
- Accession number :
- edsair.doi.dedup.....4331bc40ec39129abd4727dd7c9725e6