Anemia in Chronic Comorbidity Heart Failure and Diabetes Mellitus
Keywords:
heart failure, diabetes mellitus, iron deficiencyAbstract
The clinical significance of iron deficiency in patients with combined heart failure and diabetes mellitus has not been studied. 67 patients with chronic heart failure and diabetes mellitus were examined. Clinical manifestations of heart failure, asthenia, anxiety, depression, glucose, glycated hemoglobin, iron, ferritin, transferrin, soluble transferrin receptors, and hepcidin were studied in all patients., erythropoietin, NT-proBNP, and echocardiography were performed in one-dimensional, two-dimensional, and Doppler modes (pulse wave, constant wave, and tissue) in standard positions according to a generally accepted technique. 42 patients were diagnosed with iron deficiency. It has been established that iron deficiency in patients with heart failure and diabetes mellitus contributes to the disruption of various parts of iron metabolism and the increase in clinical manifestations of heart failure, asthenia, anxiety and deterioration of central hemodynamic parameters.