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

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