Fast Five Quiz: Management of Iron Deficiency in Heart Failure

Jeffrey J. Hsu, MD


March 03, 2021

Medical care for patients with iron deficiency and heart failure begins with confirming the diagnosis as well as the reason for the iron deficiency. In most cases, treatment should begin with oral iron therapy, and the underlying cause of the deficiency should be corrected so it does not recur.

Parenteral iron therapy is an option that may be considered for patients who are either unable to absorb oral iron or who have increasing anemia despite adequate doses of oral iron. However, it is more costly and has greater morbidity than oral daily iron preparations.

Mean corpuscular volume is a late marker of iron deficiency and has not been shown to be a reliable marker of treatment response.

Iron therapy should be avoided in patients with a microcytic iron-overloading disorder, such as thalassemia and sideroblastic anemias.

Learn more about the management of iron deficiency in patients with heart failure.


Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.
Post as: