Factors associated with iron deficiency in heart failure

Abstract

Aim. To establish the factors associated with iron deficiency (ID) in patients with heart failure (HF). Material and methods. We examined 294 patients with NYHA class IIIV HF as follows: 213 — with ID, 81 — without ID. All patients underwent a clinical examination, collection of medical history taking into account the presence, duration and severity of comorbidities, drug history, echocardiography, complete blood count, serum iron, ferritin, transferrin, transferrin saturation, soluble transferrin receptors, hepcidin, erythropoietin, and routine laboratory tests. In addition, we determined the presence and severity of asthenia, anxiety, and depression. Results. Twentynine clinical, laboratory and echocardiographic parameters were established, which had significant differences in patients with and without ID and significant correlations with ID. Determining the odds ratio for these 29 parameters revealed 7 factors significantly associated with ID in patients with HF. Using multivariate logistic regression, a significant cumulative effect of these factors on the ID risk was established. Conclusion. ID in patients with HF is associated with age, class IIIV HF, elevated hepcidin levels, duration of hypertension and diabetes, history of using angiotensinconverting enzyme inhibitors and novel oral anticoagulants for >1 year.