Expert recommendations for the management of iron deficiency in patients with heart failure in Asia
Issued Date
2024-01-01
Resource Type
ISSN
01675273
eISSN
18741754
Scopus ID
2-s2.0-85186105631
Pubmed ID
38382854
Journal Title
International Journal of Cardiology
Rights Holder(s)
SCOPUS
Bibliographic Citation
International Journal of Cardiology (2024)
Suggested Citation
Sim D.K.L., Mittal S., Zhang J., Hung C.L., Azman W.A.W., Choi J.O., Yingchoncharoen T., De Lara A.C.F., Ito H., Ashraf T., Yiu K.H., Krittayaphong R. Expert recommendations for the management of iron deficiency in patients with heart failure in Asia. International Journal of Cardiology (2024). doi:10.1016/j.ijcard.2024.131890 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/97475
Title
Expert recommendations for the management of iron deficiency in patients with heart failure in Asia
Author's Affiliation
Ramathibodi Hospital
Siriraj Hospital
The University of Hong Kong-Shenzhen Hospital
Mackay Medical College
University of Santo Tomas, Manila
Mackay Memorial Hospital Taiwan
Samsung Medical Center, Sungkyunkwan university
University of Malaya Medical Centre
Kawasaki Medical School
National Heart Centre Singapore
Mendanta – The Medicity
National Institute of Cardiovascular disease
Fuwai Hospital
Siriraj Hospital
The University of Hong Kong-Shenzhen Hospital
Mackay Medical College
University of Santo Tomas, Manila
Mackay Memorial Hospital Taiwan
Samsung Medical Center, Sungkyunkwan university
University of Malaya Medical Centre
Kawasaki Medical School
National Heart Centre Singapore
Mendanta – The Medicity
National Institute of Cardiovascular disease
Fuwai Hospital
Corresponding Author(s)
Other Contributor(s)
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.