Expert recommendations for the management of iron deficiency in patients with heart failure in Asia

Sim, David Kheng Leng and Mittal, Sanjay and Zhang, Jian and Hung, Chung-Lieh and Azman, Wan Ahmad Wan and Choi, Jin-Oh and Yingchoncharoen, Teerapat and De Lara, Aileen Cynthia F. and Ito, Hiroshi and Ashraf, Tariq and Yiu, Kai -Hang and Krittayaphong, Rungroj (2024) Expert recommendations for the management of iron deficiency in patients with heart failure in Asia. International Journal of Cardiology, 403. p. 131890. ISSN 0167-5273, DOI https://doi.org/10.1016/j.ijcard.2024.131890.

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Official URL: https://doi.org/10.1016/j.ijcard.2024.131890

Abstract

Background: Iron deficiency is a common comorbidity in heart failure (HF) and is independently associated with a worse quality -of -life and exercise capacity, as well as increased risk of hospitalization, regardless of anemia status. Although international guidelines have provided recommendations for the management of iron deficiency in patients with HF, guidelines in Asia are less established, and practical use of guidelines for management of iron deficiency is limited in the region. Methods: A panel comprising cardiologists from China, Hong Kong, India, Japan, Malaysia, Pakistan, Philippines, Singapore, South Korea, Taiwan, and Thailand convened to share insights and provide guidance for the optimal management of iron deficiency in patients with HF, tailored for the Asian community. Results: Expert opinions were provided for the screening, diagnosis, treatment and monitoring of iron deficiency in patients with HF. It was recommended that all patients with HF with reduced ejection fraction should be screened for iron deficiency, and iron -deficient patients should be treated with intravenous iron. Monitoring of iron levels in patients with HF should be carried out once or twice yearly. Barriers to the management of iron deficiency in patients with HF in the region include low awareness of iron deficiency amongst general physicians, lack of reimbursement for screening and treatment, and lack of proper facilities for administration of intravenous iron. Conclusions: These recommendations provide a structured approach to the management of iron deficiency in patients with HF in Asia.

Item Type: Article
Funders: CSL Vifor
Uncontrolled Keywords: Asia; Heart failure; Iron deficiency; Iron compounds
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Medicine
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 22 Oct 2024 06:11
Last Modified: 22 Oct 2024 06:11
URI: http://eprints.um.edu.my/id/eprint/45455

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