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

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.

journal_name

Angiology

journal_title

Angiology

authors

Pagourelias ED,Koumaras C,Kakafika AI,Tziomalos K,Zorou PG,Athyros VG,Karagiannis A

doi

10.1177/0003319708316169

subject

Has Abstract

pub_date

2009-02-01 00:00:00

pages

74-81

issue

1

eissn

0003-3197

issn

1940-1574

pii

0003319708316169

journal_volume

60

pub_type

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