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Chapter-084 Anemia in Chronic Heart Failure

BOOK TITLE: CSI: Cardiology Update 2014

Author
1. Jain Vidyut
2. Jain Avani
ISBN
9789351526186
DOI
10.5005/jp/books/12415_85
Edition
1/e
Publishing Year
2015
Pages
6
Author Affiliations
1. Choithram Hospital, Indore, Madhya Pradesh, India, Choithram Hospital and Research Center, Indore, Madhya Pradesh, India, Choithram Hospital and Research Centre, Indore, Madhya Pradesh, India, Choithram Hospital, Indore, MP, India, Choithram Hospital and Research Center and CHL Hospital, Indore, Madhya Pradesh, India
2. Choithram Hospital, Indore, Madhya Pradesh, India, Choithram Hospital and Research Center, Indore, Madhya Pradesh, India, Choithram Hospital and Research Centre, Indore, Madhya Pradesh, India, Intensive Care Unit, Choithram Hospital and Research Center, Indore, Madhya Pradesh, India, DNS Hospital, Indore, Madhya Pradesh, India
Chapter keywords
Anemia, chronic heart failure, myocardium, decreased cardiac output, cytokines, iron deficiency, renal failure, erythropoietin stimulating agents, hemoglobin, renin-angiotensin-aldosterone

Abstract

Anemia is one of the common and significant comorbidity in chronic heart failure (CHF). Anemia always has negative impact on course of CHF patients, as oxygen carrying capacity is reduced critically which adds to further jeopardy of failing myocardium. Some Common etiological factors contributing for anemia in chronic heart failure are decreased cardiac output, cytokines, iron deficiency, renal failure, ACE inhibitors, etc. In this chapter etiology, pathophysiology and treatment of anemia in CHF is discussed in detail. This condition can be treated by iron supplementation, erythropoietin stimulating agents, etc. The primary aim of treatment of HF and anemia is to fulfil the need of oxygen for metabolic performance of the heart and to achieve this, the concentration of hemoglobin should be normal.

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