ANEMIA AND FERRUM DEFICIENCY IN PATIENTS WITH HEART FAILURE
Actuality. In chronic heart failure anemia is a separate risk factor for unfavorable prognosis. Data on anemia and ferrum deficiency in patients with chronic heart failure are not numerous.Objective is to study the incidence of anemia and ferrum deficiency in patients with chronic heart failure at in-patient department. Material and methods. 149 patients with chronic heart failure of III-IV functional classes, average age - 72.6 ± 7.8 years were examined. Blood test with erythrocyte indices calculation was performed; blood test for the determination of content of ferrum, ferritine, transferrine, and the examination of ferritine saturation by ferrum were made. Results. Light degree of anemia was detected in 27,5% examined patients; ferrum deficiency - in 71.1%. Anemia incidence rate in chronic heart failure of the IV functional class was statistically more significant than in chronic heart failure of III functional class; ferrum deficiency similarly often was found in the both groups. Hypoferremia was revealed in 39.6%; in III functional class - in 33 patients, in IV functional class - in 26 ones. Average ferritine level was less than 100 mkg/l and statistically did not differ in two groups (in chronic heart failure of III functional class - 46.64 ± 27.72 mkg/l, in chronic heart failure of IV functional class - 45.63 + 25.90 mkg/l). In aggravation of chronic heart failure of IV functional class transferrine saturation by ferrum was statistically significantly lower.Conclusions. In patients with chronic heart failure of III-IV functional classes anemia was revealed in 25% cases, in chronic heart failure of IV functional class it was detected more often than in chronic heart failure of III functional class. Ferrum deficiency incidence rate was significantly more - in ¾ patients regardless of functional class.