Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2019 Nov 4;5(3):173-175.
doi: 10.15420/cfr.2019.9.2. eCollection 2019 Nov.

Why is Iron Deficiency Recognised as an Important Comorbidity in Heart Failure?

Affiliations
Review

Why is Iron Deficiency Recognised as an Important Comorbidity in Heart Failure?

Nicole Ebner et al. Card Fail Rev. .

Abstract

There is an increasing awareness of the prevalence of iron deficiency in patients with heart failure (HF), and its contributory role in the morbidity and mortality of HF. Iron is a trace element necessary for cells due to its capacity to transport oxygen and electrons. The prevalence of iron deficiency increases with the severity of HF. For a long time the influence of iron deficiency was underestimated, especially in terms of worsening of cardiovascular diseases and developing anaemia. In recent years, studies with intravenous iron agents in patients with iron deficiency and HF showed new insights into the improvement of iron therapy. Additionally, experimental studies supporting the understanding of iron metabolism and the resulting pathophysiological pathways of iron have been carried out. The aim of this mini review is to highlight why iron deficiency is recognised as an important comorbidity in HF.

Keywords: Iron deficiency; comorbidity; heart failure.

PubMed Disclaimer

Conflict of interest statement

Disclosure: The authors have no conflicts of interest to declare.

References

    1. Jelani QU, Katz SD. Treatment of anemia in heart failure: potential risks and benefits of intravenous iron therapy in cardiovascular disease. Cardiol Rev. 2010;18:240–50. doi: 10.1097/CRD.0b013e3181e71150. - DOI - PMC - PubMed
    1. Ebner N, von Haehling S. Iron deficiency in heart failure: a practical guide. Nutrients. 2013;5:3730–9. doi: 10.3390/nu5093730. - DOI - PMC - PubMed
    1. Toblli JE, Silverberg DS, Di Gennaro F . Buenos Aires, Argentina: Publicaciones Latinoamericans; 2008. Iron metabolism. In: Cardio-Renal Anaemia Syndrome CRAS. Basics and Clinical Aspects. 1st ed; pp. 55–68.
    1. Okonko DO, Mandal AK, Missouris CG, Poole-Wilson PA. Disordered iron homeostasis in chronic heart failure: prevalence, predictors, and relation to anemia, exercise capacity, and survival. J Am Coll Cardiol. 2011;58:1241–51. doi: 10.1016/j.jacc.2011.04.040. - DOI - PubMed
    1. Klip IT, Comin-Colet J, Voors AA et al. Iron deficiency in chronic heart failure: An international pooled analysis. Am Heart J. 2013;165:575–82 e3. doi: 10.1016/j.ahj.2013.01.017. - DOI - PubMed