New Definition for Iron Deficiency in CV Disease Proposed - Medscape
A cohort study of patients with pulmonary hypertension (PH) has questioned the guideline definition of iron deficiency and the criteria used to identify and potentially treat it, with implications that may extend to cardiovascular disease in general. In the study involving more than 900 patients with PH, investigators at seven US centers determined the prevalence of iron deficiency by two separate definitions and assessed its associations with functional measures and quality of life (QoL) scores. An iron deficiency definition used conventionally in heart failure (HF) — ferritin <100 g/mL or 100-299 ng/mL with transferrin saturation (TSAT) <20% — failed to discriminate patients with reduced peak oxygen consumption (peakVO 2 ), 6-minute walk test (6MWT) results, and QoL scores on the 36-item Short Form Survey (SF-36). But an alternative definition for iron deficiency, simply a TSAT <21%, did predict such patients with re