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The Burden of Iron Deficiency in Heart Failure: Therapeutic Approach

dc.contributor.authorRocha, B
dc.contributor.authorCunha, G
dc.contributor.authorFalcão, L
dc.date.accessioned2019-02-20T15:51:34Z
dc.date.available2019-02-20T15:51:34Z
dc.date.issued2018
dc.description.abstractHeart failure (HF) is highlighted by its burdening symptom-limited exercise capacity and recurrent hospitalizations. Despite substantial advances regarding disease-modifying drugs in HF with reduced ejection fraction, additional therapeutic strategies to improve quality of life are invaluable. Currently, iron deficiency (ID) is overwhelmingly recognized in over 30% to 50% of patients with stable chronic HF, which worsens prognosis. The established pathophysiological mechanisms of progressive HF may be intertwined with increasing myocardial iron scarcity, wherein one begets the other. Most importantly, ID constitutes a novel target for symptom relief in carefully selected patients. In this regard, intravenous iron may be a safe and efficacious intervention, potentially reducing HF hospitalizations. We discuss the evidence and gaps in knowledge concerning iron therapy in HF and propose a practical, comprehensive, clinically oriented algorithm for timely adequate iron replenishment in different clinical scenarios. Finally, we further debate imperative decision-making before intervention and the drawbacks of such a strategy.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationJ Am Coll Cardiol. 2018 Feb 20;71(7):782-793.pt_PT
dc.identifier.doi10.1016/j.jacc.2017.12.027.pt_PT
dc.identifier.issn1558-3597
dc.identifier.urihttp://hdl.handle.net/10400.10/2129
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.subjectHeart failurept_PT
dc.subjectIron-deficiency anemiapt_PT
dc.titleThe Burden of Iron Deficiency in Heart Failure: Therapeutic Approachpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceNew Yorkpt_PT
oaire.citation.endPage793pt_PT
oaire.citation.startPage782pt_PT
oaire.citation.titleJournal of the American College of Cardiologypt_PT
oaire.citation.volume71pt_PT
rcaap.rightsclosedAccesspt_PT
rcaap.typearticlept_PT

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