Iron Deficiency in Heart Failure - Diagnosis and Treatment Algorithm Diagnosis: Ferritin <100 ng/mL (absolute ID) OR Ferritin 100-299 ng/mL with TSAT <20% (functional ID) Guidelines: • ACC/AHA 2017 - In patients with NYHA class II and Ill HF with iron deficiency, IV iron replacement might be reasonable to improve functional status and QOL (class IIb) • ESC 2016 - IV ferric carboxymaltose should be considered in symptomatic patients with HFrEF and iron deficiency in order to alleviate symptoms, and improve exercise capacity and QOL (class IIa) Alissa Shega, PharmD @alissa_shega #iron #deficiency #CHF #HFrEF #heartfailure #diagnosis #management #algorithm #cardiology #treatment #guidelines
