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Cardiorenal anemia syndrome: do erythropoietin and iron therapy have a place in the treatment of heart failure?

TitleCardiorenal anemia syndrome: do erythropoietin and iron therapy have a place in the treatment of heart failure?
Publication TypeJournal Article
Year of Publication2009
AuthorsPagourelias, E. D., Koumaras C., Kakafika A. I., Tziomalos K., Zorou P. G., Athyros V. G., & Karagiannis A.
JournalAngiology
Volume60
Issue1
Pagination74-81
Date Published2009 Feb-Mar
ISSN1940-1574
KeywordsAnemia, Iron-Deficiency, Erythropoietin, Female, Heart Failure, Hematinics, Hemoglobins, Humans, Iron Compounds, Kidney Diseases, Male, Practice Guidelines as Topic, Prevalence, Syndrome, Treatment Outcome
Abstract

The cardiorenal anemia syndrome in congestive heart failure (CHF) is an independent risk factor for vascular morbidity and mortality. Several factors play a role in the pathogenesis of anemia in CHF, including inflammation, impaired renal function, use of certain antihypertensive or cardioprotective agents, and gastrointestinal or urinary losses of essential hemopoietic factors. Several trials evaluated the effects of administering erythropoietin (EPO) and/or iron to patients with CHF. Even though most of them were uncontrolled studies, their results suggest that EPO treatment might be beneficial in CHF. Nevertheless, more studies are needed and certain issues should be resolved, particularly the optimal hemoglobin level, before EPO can become part of the treatment of patients with CHF.

DOI10.1177/0003319708316169
Alternate JournalAngiology
PubMed ID18413330

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