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Prevalence of iron deficiency among patients with chronic heart failure attending Rizgary and Hawler teaching hospitals in Erbil City

Hawree Ibrahim Othman
Directorate of Health, Erbil, Iraq.
Kawa Muhamedamin Hasan
Department of Internal Medicine, College of Medicine, Hawler Medical University, Erbil, Iraq.
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Abstract

Background and objectives: Iron deficiency is an emerging problem in patients with chronic heart failure and could be a potential therapeutic target. This study aimed to determine the prevalence, severity, and type of iron deficiency among patients with chronic heart failure.

Methods: This study was conducted in Rizgary and Hawler teaching hospitals in Erbil from April 2015 to January 2016. A total of 60 patients with heart failure for more than six months with an ejection fraction less than 55% were enrolled. These patients were evaluated for iron status and hematological indices.

Results: The prevalence of iron deficiency was 76.7% with 52 %of them having severe iron deficiency. Absolute iron deficiency was detected in 41% of patients. The prevalence of anemia was 41.7%. There was a significant difference between those with chronic heart failure with iron deficiency and those with no iron deficiency in the hemoglobin (P = 0.001), mean cell volume (P = 0.001), mean corpuscular hemoglobin (P = 0.002), serum iron (P <0.001) and transferrin saturation (P <0.001).

Conclusion: Iron deficiency is common in chronic heart failure. It is the most common cause of anemia in such patients. Serum ferritin alone was not a reliable marker of iron deficiency in such patients.

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How to Cite
Othman, H. I., & Hasan, K. M. (2018). Prevalence of iron deficiency among patients with chronic heart failure attending Rizgary and Hawler teaching hospitals in Erbil City. Zanco Journal of Medical Sciences (Zanco J Med Sci), 22(3), 355–366. https://doi.org/10.15218/zjms.2018.046

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