韩国心力衰竭患者的铁缺乏症
Jin Joo Park1, Minjae Yoon1, Hyoung-Won Cho1
1Division of Cardiology, Cardiovascular Center, Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
Journal of Korean medical science
|June 13, 2023
概括
铁缺乏症 (ID) 影响了韩国一半以上的住院心力衰竭 (HF) 患者,特别是女性. 常规实验室检查对于诊断ID至关重要,因为临床症状不可靠.
科学领域:
- 心脏病学 心脏病学
- 内部医学 内部医学
- 血液学 血液学 血液学
背景情况:
- 缺铁 (ID) 是心力衰竭 (HF) 的一个显著的,可治疗的风险因素.
- 亚洲HF人群中ID患病率的数据有限.
- 这项研究调查了医院住院的韩国患有高血压的患者的ID.
研究的目的:
- 确定韩国心力衰竭患者住院铁缺乏症的患病率.
- 确定该人群中缺铁的临床特征和预测因素.
主要方法:
- 一项前性多中心队列研究招募了461名韩国急性心力衰竭患者.
- 铁缺乏症的定义是使用血清费里丁和转林和水平.
- 数据是从2019年1月到11月收集的.
主要成果:
- 在53.8%的患者中存在铁缺乏症,女性 (65.3%) 的患病率高于男性 (47.3%).
- 智障的独立预测因素包括女性性别,膜心脏病,心率升高,贫血和克洛皮多格雷尔的使用.
- 静脉铁补充剂仅用于0.2%的急性HF患者.
结论:
- 韩国住院心力衰竭患者中铁缺乏症的患病率很高.
- 仅仅通过临床参数来诊断ID是不够的.
- 常规实验室检测对于识别缺铁患者至关重要.
相关概念视频
Heart Failure VI: Adjunct Therapies
17
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
17
Heart Failure VII: Nursing Interventions
118
The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
118
Heart Failure III: Clinical Manifestations
25
Heart failure (HF) manifests primarily as dyspnea, fatigue, and fluid retention, resulting in peripheral and pulmonary edema. Symptoms may vary depending on which ventricle is more affected, left or right.Left-Sided Heart FailureAlso known as left ventricular failure, this condition results from the left ventricle's inability to fill or eject sufficient blood into the systemic circulation. It leads to pulmonary congestion, which occurs when the left ventricle fails to eject blood effectively...
25
Heart Failure II: Pathophysiology
16
Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
16
Heart Failure I: Introduction
24
Heart failure refers to a clinical syndrome caused by structural or functional cardiac disorders that prevent the heart from pumping an adequate amount of blood to meet the body's metabolic needs. This condition often arises from myocardial infarction or ischemia, leading to decreased cardiac output, reduced tissue perfusion, impaired gas exchange, fluid volume imbalance, and decreased functional ability.Heart failure can result from disruptions in the mechanisms that regulate cardiac output...
24
Heart Failure IV: Classification and Diagnostic Evaluation
21
Heart failure can be classified in various ways, with the most common classifications based on physical activity limitations, disease progression, severity, and treatment strategies.The Functional Classification of Heart Failure divides patients into four categories based on physical activity limitation due to symptom burden.Class I: Patients in this class have cardiac disease but no physical activity limitations. Ordinary activities like walking, climbing stairs, or routine tasks do not cause...
21

