title: Consensus Document of the Spanish Society of Cardiology and the Spanish Society of Internal Medicine on the diagnosis and treatment of iron deficiency in heart failure.
abstract: Iron deficiency in patients with heart failure is a medical problem of recent particular interest. This interest has resulted from the publication of several clinical trials that demonstrated that the administration of intravenous iron to such patients improved their functional capacity and even reduced the number of hospitalisations for heart failure decompensation. However, applying the evidence from these studies in clinical practice is still controversial, both in terms of the diagnostic criteria for iron deficiency (absolute and functional) and the optimal method for iron replenishment. This article is a consensus document that integrates the recommendations of the Spanish Society of Internal Medicine and the Spanish Society of Cardiology. The article reviews the scientific evidence and proposes a diagnostic and therapeutic performance protocol for iron deficiency in heart failure.
authors.affiliation: Unidad de Insuficiencia Cardíaca y Trasplante Cardíaco, Hospital Universitario de Bellvitge, Barcelona, España. Electronic address: nml@bellvitgehospital.cat.
authors.forename: N
authors.initials: N
authors.lastname: Manito
authors.affiliation: Servicio de Medicina Interna, Hospital de Lugo, Lugo, España.
authors.forename: J M
authors.initials: JM
authors.lastname: Cerqueiro
authors.affiliation: Grupo de Investigación Biomédica en Enfermedades del Corazón, Instituto Hospital del Mar de Investigaciones Médicas (IMIM), Barcelona, España.
authors.forename: J
authors.initials: J
authors.lastname: Comín-Colet
authors.affiliation: Unidad de Insuficiencia Cardiaca y Cardiopatías Familiares, Servicio de Cardiología, Hospital Universitario Virgen de la Victoria, Málaga, España.
authors.forename: J M
authors.initials: JM
authors.lastname: García-Pinilla
authors.affiliation: Unidad de Insuficiencia Cardíaca, Hospital Universitario Central de Asturias, Oviedo, España.
authors.forename: A
authors.initials: A
authors.lastname: González-Franco
authors.affiliation: Servicio de Medicina Interna, Hospital Municipal de Badalona, Barcelona, España.
authors.forename: J
authors.initials: J
authors.lastname: Grau-Amorós
authors.affiliation: Servicio de Cardiología, Hospital Sant Joan de Déu de Martorell, Barcelona, España.
authors.forename: J R
authors.initials: JR
authors.lastname: Peraira
authors.affiliation: Unidad ICC y del Anciano, Hospital Ramón y Cajal, Madrid, España.
authors.forename: L
authors.initials: L
authors.lastname: Manzano
keywords: Anaemia; Anemia; Déficit de hierro; Heart failure; Hierro intravenoso; Insuficiencia cardiaca; Intravenous iron; Iron deficiency