Abstract
IntroductionAfter the publication of major studies in patients with heart failure (HF) that differentiate the concept of anaemia and iron deficiency (ID), there is sufficient clinical evidence to identify ID as somewhat more than a comorbidity and it is possible that it plays a role in the pathophysiology of HF. Hence a diagnosis of ID and how to approach it are key factors in the treatment of HF. DiagnosisMonitoring the kinetics of iron by determining ferritin and transferrin saturation index should be undertaken after diagnosing HF, in episodes of decompensation and annually for the prompt detection of ID. TreatmentID in symptomatic HF patients with depressed left ventricular ejection fraction (LVEF) should be treated as soon as possible, in order to improve quality of life and prevent hospital readmission. Parenteral than oral iron is more effective for this purpose.
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