Characteristics of anemia in heart failure: iron metabolism, erythropoietic activity and markers of inflammation

Aim. To determine the characteristics of erythrocyte parameters, iron metabolism, erythropoiesis, inflammation markers in patients with heart failure (CHF) and anemia.Material and methods. The study included 68 patients with HF to describe the characteristics of anemia (general group). Patients of t...

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Main Authors: A. A. Gurkina, N. I. Stuklov, N. D. Kisly, R. R. Gimadiev, M. S. Kovalchuk
Format: Article
Language:Russian
Published: «SILICEA-POLIGRAF» LLC 2023-02-01
Series:Кардиоваскулярная терапия и профилактика
Subjects:
Online Access:https://cardiovascular.elpub.ru/jour/article/view/3332
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author A. A. Gurkina
N. I. Stuklov
N. D. Kisly
R. R. Gimadiev
M. S. Kovalchuk
author_facet A. A. Gurkina
N. I. Stuklov
N. D. Kisly
R. R. Gimadiev
M. S. Kovalchuk
author_sort A. A. Gurkina
collection DOAJ
description Aim. To determine the characteristics of erythrocyte parameters, iron metabolism, erythropoiesis, inflammation markers in patients with heart failure (CHF) and anemia.Material and methods. The study included 68 patients with HF to describe the characteristics of anemia (general group). Patients of the general group were divided into 3 subgroups depending on the serum ferritin (SF) and transferrin saturation (TS).Results. Anemia in HF is not always associated with iron deficiency (ID), characterized by inadequate production of erythropoietin, increased levels of C-reactive protein and hepcidin. From the general group of patients, the following were distinguished: absolute ID (43%), functional ID (19%), and non-ID anemia (38%).Conclusion. In the general group of patients with HF, anemia is normochromic, normocytic, characterized by high levels of C-reactive protein, hepcidin, and inadequate production of erythropoietin. Patients with absolute and functional ID do not differ in the main iron metabolism parameters and in general account for 62% (p=0,01). In these two subgroups, iron supplements should be prescribed at further stages.
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spelling doaj.art-0d955b7c4d5c444d99c7cc4be41ddaf62023-03-13T07:23:33Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252023-02-0122110.15829/1728-8800-2023-33322627Characteristics of anemia in heart failure: iron metabolism, erythropoietic activity and markers of inflammationA. A. Gurkina0N. I. Stuklov1N. D. Kisly2R. R. Gimadiev3M. S. Kovalchuk4ФГАОУ ВО Российский университет дружбы народов (РУДН)ФГАОУ ВО Российский университет дружбы народов (РУДН); ФГБУ Национальный медицинский исследовательский центр радиологии Минздрава России (НМИЦ радиологии)ФГАОУ ВО Российский университет дружбы народов (РУДН)ФГАОУ ВО Российский университет дружбы народов (РУДН); Евротест, ОООФГАОУ ВО Российский университет дружбы народов (РУДН)Aim. To determine the characteristics of erythrocyte parameters, iron metabolism, erythropoiesis, inflammation markers in patients with heart failure (CHF) and anemia.Material and methods. The study included 68 patients with HF to describe the characteristics of anemia (general group). Patients of the general group were divided into 3 subgroups depending on the serum ferritin (SF) and transferrin saturation (TS).Results. Anemia in HF is not always associated with iron deficiency (ID), characterized by inadequate production of erythropoietin, increased levels of C-reactive protein and hepcidin. From the general group of patients, the following were distinguished: absolute ID (43%), functional ID (19%), and non-ID anemia (38%).Conclusion. In the general group of patients with HF, anemia is normochromic, normocytic, characterized by high levels of C-reactive protein, hepcidin, and inadequate production of erythropoietin. Patients with absolute and functional ID do not differ in the main iron metabolism parameters and in general account for 62% (p=0,01). In these two subgroups, iron supplements should be prescribed at further stages.https://cardiovascular.elpub.ru/jour/article/view/3332хроническая сердечная недостаточностьанемияжелезодефицитные синдромыферритинэритропоэтингепцидин
spellingShingle A. A. Gurkina
N. I. Stuklov
N. D. Kisly
R. R. Gimadiev
M. S. Kovalchuk
Characteristics of anemia in heart failure: iron metabolism, erythropoietic activity and markers of inflammation
Кардиоваскулярная терапия и профилактика
хроническая сердечная недостаточность
анемия
железодефицитные синдромы
ферритин
эритропоэтин
гепцидин
title Characteristics of anemia in heart failure: iron metabolism, erythropoietic activity and markers of inflammation
title_full Characteristics of anemia in heart failure: iron metabolism, erythropoietic activity and markers of inflammation
title_fullStr Characteristics of anemia in heart failure: iron metabolism, erythropoietic activity and markers of inflammation
title_full_unstemmed Characteristics of anemia in heart failure: iron metabolism, erythropoietic activity and markers of inflammation
title_short Characteristics of anemia in heart failure: iron metabolism, erythropoietic activity and markers of inflammation
title_sort characteristics of anemia in heart failure iron metabolism erythropoietic activity and markers of inflammation
topic хроническая сердечная недостаточность
анемия
железодефицитные синдромы
ферритин
эритропоэтин
гепцидин
url https://cardiovascular.elpub.ru/jour/article/view/3332
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AT ndkisly characteristicsofanemiainheartfailureironmetabolismerythropoieticactivityandmarkersofinflammation
AT rrgimadiev characteristicsofanemiainheartfailureironmetabolismerythropoieticactivityandmarkersofinflammation
AT mskovalchuk characteristicsofanemiainheartfailureironmetabolismerythropoieticactivityandmarkersofinflammation