Bakhtawar Shah, Shahab Saidullah, Akhtar Ali Bandashah.
Frequency of Iron Deficiency Anemia and its Treatment Strategies in Heart Failure Patients at Hayatabad Medical Complex, Peshawar.
Ann Pak Inst Med Sci Jan ;12(3):156-60.

Objective: This study was conducted to see whether elevating iron deficiency anemia will improve patient condition irrespective of the cause of heart failure. Place and Duration: Cardiology unit Hayat Abad medical complex from June 2013 to May 2014. Materials and Methods: Heart failure patients with Hemoglobin(Hb) less than 12 mg/dl who presented to cardiology unit Hayat Abad medical complex from June 2013 to May 2014 included in study. Patients Full Blood Count (FBC), Mean Corpuscular Volume (MCV) Total Iron Binding Capacity (TIBC), Serum Iron, and Serum Ferritin tested and transferrin saturation calculated by formula and those with hemoglobin (Hb) <12mg/dl, Serum Ferritin less than 250 nanograms per milliliter (ngm/ml) and transferrin saturation <20, provided there was no active inflammatory condition or Renal failure, were included in the study. Patients were infused 1000 mg ferric carboxymaltose in 100 ml normal saline. Patients were assessed every 15 days for a month, on wellbeing, sleep, appetite and laboratory valves repeated and on 6minutes’ walk. Results: Total 46 patient were assessed during the study period. At time of induction mean Hb was 9.84 ± 1.585,At completion of study Hb was 11.53 ± 0.845. The average 6 minutes’ walk at the start of the study was 261.29 ± 86.171 meters and after one month it was 356.82 ±82.984 meters. Over all there was improvement in patient appetite, sleep and wellbeing assess on the questionnaire and no side effect observed during infusion and in follow-up period Conclusion: Elevating anemia in heart failure patients improve morbidity irrespective of the cause of anemia.

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