Heart failure & cardiomyopathies
Gaps in knowledge and management of iron deficiency in heart failure: a nationwide survey of cardiologists in China
Authors' conclusion
In this nationwide survey of cardiologists in China, we identified large gaps in both knowledge and management of ID. This survey will help guide the development of educational programmes to improve care for patients with HF and ID in China.
Study context
- Population
- Cardiologists from all provinces of Chinacardiologists who completed the survey (median age 34 years, IQR 30–39, 51% women)
- Participants
- 1,342 cardiologists
- Outcome
- Awareness and practice of ID screening in HF
Methodological detailsindependent academic, nationwide, distributed via social networks
- Independent academic
- Nationwide
- Distributed via social networks
Main finding
As reported in the abstract
- More than half were unaware of the need to screen for iron deficiency (ID) in heart failure (HF) and did not do so routinely in their clinical practice
Observational data: associations, not effects.
Further findings
Familiarity with diagnostic criteria for ID in HF guidelines
- Not familiar with the diagnostic criteria for ID in HF guidelines
- ≈80%
- Recognised transferrin saturation <20% as an independent marker of ID
- 0.8%
Preferred route of iron repletion
- Preferred intravenous to oral iron
- 14%
- Favouring oral iron
- 68%
Familiarity with methods for calculating intravenous iron dose
- Unfamiliar with methods for calculating intravenous iron dose
- Three-quarters
Awareness that guidelines only recommend ferric carboxymaltose or ferric derisomaltose
- Unaware that current guidelines only recommend ferric carboxymaltose or ferric derisomaltose for correcting ID
- over 80%
Barriers to using intravenous iron
- Main barriers were lack of knowledge and experience
Interest in learning about managing ID in HF
- Most cardiologists were interested in learning more about managing ID in HF
Original publication
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