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Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure
Published on: June 10, 2025
[Anemia in patients with advanced heart failure]
Juliano Cardoso1, Michel Ibrahim Brito, Marcelo Eidi Ochiai
1Hospital Cotoxó InCor, FMUSP, São Paulo, SP, Brasil. julianonc@cardiol.br
Arquivos Brasileiros De Cardiologia
|August 31, 2010
Summary
Anemia impacts about a third of advanced heart failure patients, often due to iron deficiency. Anemia in advanced heart failure independently signals a worse prognosis and higher mortality risk.
Area of Science:
- Cardiology
- Hematology
- Internal Medicine
Context:
- Heart failure (HF) is a complex condition often accompanied by anemia.
- Anemia in advanced HF is understudied, despite its link to poorer outcomes.
- Understanding anemia's characteristics in advanced HF is crucial for patient management.
Purpose:
- To characterize anemia in patients with advanced heart failure (HF).
- To identify factors associated with anemia in this population.
- To assess the prognostic significance of anemia in advanced HF.
Summary:
- This study analyzed 99 advanced HF patients, finding 34.3% had anemia (hemoglobin < 12 g/dl).
- Anemic patients were older, had higher creatinine and BNP levels, and 38.24% had iron deficiency.
- Anemia was an independent predictor of poor prognosis, with higher mortality (47% vs. 24.6%) and a relative risk of 2.54.
Impact:
- Anemia is prevalent in advanced HF and linked to worse renal function and higher mortality.
- Iron deficiency is a key cause of anemia in this group.
- Anemia serves as an independent marker for poor prognosis in advanced heart failure patients.
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