EFFECT OF ERYTHROPOIETIN ON THE CLINICAL COURSE OF CHRONIC HEART FAILURE IN PATIENTS WITH ANEMIA: RESULTS OF NOT COMPARATIVE STUDY
https://doi.org/10.20996/1819-6446-2011-7-5-605-608
Abstract
Aim. To study the clinical efficacy of corrective therapy of anemia in patients with chronic heart failure (CHF) and ischemic heart disease (IHD). Material and methods. Patients (n=58; 32 female, 26 male; aged 47-85 years) with IHD and CHF with left ventricular ejection fraction (LVEF) <45% were included into the study. They received basic CHF therapy. Patients (n=12) with iron deficiency anemia also received erythropoietin and iron containing drugs during 12 weeks. Clinic and instrumental examination was performed before and after the treatment. Exercise tolerance was evaluated by 6-minute walk test. Results. The anemia was revealed in 14 (24.8%) patients, including 12 patients with iron deficiency anemia. By the end of 12 week therapy with erythropoietin and iron containing drugs significant increase (+36%) in 6-minute walk distance and LVEF (+32.5%), improvement of CHF NYHA functional class were observed. Besides increase in hemoglobin (+12.5%; p<0.001) and hematocrit (+5.8%; p<0.001) levels, as well as increase in red blood cells number (+8%; p<0.001) were found. Conclusion. In patients with CHF and IHD correction of anemia with erythropoietin and iron containing drugs additionally to the basic CHF/IHD therapy leads to a significant clinical and functional improvement.
About the Authors
V. M. Provotorov
Voronezh State Medical Academy named after N.N. Burdenko
Russian Federation
Russian Federation
S. A. Avdeeva
Lipetsk Outpatient Clinic № 4
Russian Federation
Russian Federation
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Review
For citations:
Provotorov V.M., Avdeeva S.A. EFFECT OF ERYTHROPOIETIN ON THE CLINICAL COURSE OF CHRONIC HEART FAILURE IN PATIENTS WITH ANEMIA: RESULTS OF NOT COMPARATIVE STUDY. Rational Pharmacotherapy in Cardiology. 2011;7(5):605-608. (In Russ.) https://doi.org/10.20996/1819-6446-2011-7-5-605-608
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