铁代谢与心力衰竭的研究进展

Research progress on iron metabolism and heart failure

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DOI 10.12208/j.ijcr.20250018
刊名
International Journal of Clinical Research
年,卷(期) 2025, 9(1)
作者
作者单位

1暨南大学第二临床医学院 广东深圳,2深圳市人民医院龙华分院 广东深圳

摘要
心力衰竭患者中铁缺乏较为常见,约占比50%。铁缺乏与心力衰竭患者的心衰再住院率、心血管事件发生率、心血管死亡率及全因死亡率显著相关。同时,心力衰竭患者因肠道水肿、摄入不足、药物相互作用等原因导致铁吸收、利用障碍,加重铁缺乏。目前欧洲及美国的指南均推荐射血分数减低心衰合并铁缺乏患者补充铁剂,以改善临床症状、运动耐量及生活质量。本文拟根据现有研究就心衰患者铁缺乏的病理生理、铁缺乏的临床诊断、治疗等进行综述。
Abstract
Iron deficiency is relatively common in patients with heart failure, accounting for about 50%. Iron deficiency is significantly correlated with readmission rate, cardiovascular event incidence, cardiovascular mortality rate, and all-cause mortality rate in patients with heart failure. At the same time, patients with heart failure may experience iron absorption and utilization disorders due to intestinal edema, insufficient intake, and drug interactions, exacerbating iron deficiency. At present, guidelines in Europe and the United States recommend iron supplementation for patients with heart failure and iron deficiency who have reduced ejection fraction to improve clinical symptoms, exercise tolerance, and quality of life. This article intends to review the pathophysiology, clinical diagnosis, and treatment of iron deficiency in heart failure patients based on existing research.
关键词
心力衰竭;铁剂治疗;铁缺乏
KeyWord
Heart failure; Iron therapy; Iron deficiency
基金项目
页码 72-77
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李仙琪,聂晨,熊玮*. 铁代谢与心力衰竭的研究进展 [J]. 国际临床研究杂志. 2025; 9; (1). 72 - 77.

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