Effects of 6-months of oral ferrous and ferric supplement therapy in patients who were hospitalized for decompensated chronic heart failure

Objective Anemia is common in patients with chronic heart failure (CHF). This study aimed to examine the frequency of iron deficiency anemia in patients with CHF. We investigated the effects of oral ferrous or ferric supplementation on prognosis of CHF and quality of life. Methods A total of 201 pat...

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Main Authors: Snezana Ciric Zdravkovic, Svetlana Petrovic Nagorni, Irena Cojbasic, Vesna Mitic, Predrag Cvetkovic, Ivan Nagorni, Nenad Govedarovic, Ivana Davinic, Dragana Stanojevic
Format: Article
Language:English
Published: SAGE Publishing 2019-07-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/0300060519847352
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author Snezana Ciric Zdravkovic
Svetlana Petrovic Nagorni
Irena Cojbasic
Vesna Mitic
Predrag Cvetkovic
Ivan Nagorni
Nenad Govedarovic
Ivana Davinic
Dragana Stanojevic
author_facet Snezana Ciric Zdravkovic
Svetlana Petrovic Nagorni
Irena Cojbasic
Vesna Mitic
Predrag Cvetkovic
Ivan Nagorni
Nenad Govedarovic
Ivana Davinic
Dragana Stanojevic
author_sort Snezana Ciric Zdravkovic
collection DOAJ
description Objective Anemia is common in patients with chronic heart failure (CHF). This study aimed to examine the frequency of iron deficiency anemia in patients with CHF. We investigated the effects of oral ferrous or ferric supplementation on prognosis of CHF and quality of life. Methods A total of 201 patients with chronic decompensated heart failure were enrolled in a 6-month prospective study. Patients were randomly assigned to two groups. Patients in group I (n = 100) received ferrous fumarate and those in group II (n = 101) received ferric hydroxide polymaltose complex. Quality of life was measured by the 6-minute walking test (6MWT). Results A total of 49% of the patients had iron-dependent anemia in group I and 53.3% were anemic in group II. In group I, the number of anemic patients was significantly lower at 6 months after admission compared with at initial admission (49% versus 45%). Significant improvements were observed in hemoglobin values, the 6MWT distance, and New York Heart Association class after 6 months in both groups. Conclusions Iron deficiency is a significant comorbidity in CHF, even without anemia. Iron should be replaced orally or intravenously because it significantly improves the quality of life of patients.
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spelling doaj.art-e08bef7ebd2347a0945d3fc90b6506af2022-12-21T17:16:37ZengSAGE PublishingJournal of International Medical Research0300-06051473-23002019-07-014710.1177/0300060519847352Effects of 6-months of oral ferrous and ferric supplement therapy in patients who were hospitalized for decompensated chronic heart failureSnezana Ciric ZdravkovicSvetlana Petrovic NagorniIrena CojbasicVesna MiticPredrag CvetkovicIvan NagorniNenad GovedarovicIvana DavinicDragana StanojevicObjective Anemia is common in patients with chronic heart failure (CHF). This study aimed to examine the frequency of iron deficiency anemia in patients with CHF. We investigated the effects of oral ferrous or ferric supplementation on prognosis of CHF and quality of life. Methods A total of 201 patients with chronic decompensated heart failure were enrolled in a 6-month prospective study. Patients were randomly assigned to two groups. Patients in group I (n = 100) received ferrous fumarate and those in group II (n = 101) received ferric hydroxide polymaltose complex. Quality of life was measured by the 6-minute walking test (6MWT). Results A total of 49% of the patients had iron-dependent anemia in group I and 53.3% were anemic in group II. In group I, the number of anemic patients was significantly lower at 6 months after admission compared with at initial admission (49% versus 45%). Significant improvements were observed in hemoglobin values, the 6MWT distance, and New York Heart Association class after 6 months in both groups. Conclusions Iron deficiency is a significant comorbidity in CHF, even without anemia. Iron should be replaced orally or intravenously because it significantly improves the quality of life of patients.https://doi.org/10.1177/0300060519847352
spellingShingle Snezana Ciric Zdravkovic
Svetlana Petrovic Nagorni
Irena Cojbasic
Vesna Mitic
Predrag Cvetkovic
Ivan Nagorni
Nenad Govedarovic
Ivana Davinic
Dragana Stanojevic
Effects of 6-months of oral ferrous and ferric supplement therapy in patients who were hospitalized for decompensated chronic heart failure
Journal of International Medical Research
title Effects of 6-months of oral ferrous and ferric supplement therapy in patients who were hospitalized for decompensated chronic heart failure
title_full Effects of 6-months of oral ferrous and ferric supplement therapy in patients who were hospitalized for decompensated chronic heart failure
title_fullStr Effects of 6-months of oral ferrous and ferric supplement therapy in patients who were hospitalized for decompensated chronic heart failure
title_full_unstemmed Effects of 6-months of oral ferrous and ferric supplement therapy in patients who were hospitalized for decompensated chronic heart failure
title_short Effects of 6-months of oral ferrous and ferric supplement therapy in patients who were hospitalized for decompensated chronic heart failure
title_sort effects of 6 months of oral ferrous and ferric supplement therapy in patients who were hospitalized for decompensated chronic heart failure
url https://doi.org/10.1177/0300060519847352
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