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العنوان
Effect of Iron Deficiency on Health-
Related Quality of Life in chronic
Heart Failure Patients Regardless of
Anaemia Status /
المؤلف
Hamed, Ahmed Alaa El-Din Fawzy.
هيئة الاعداد
باحث / Asmaa Ismail Zaky Ahmed
مشرف / Alaa Mahmoud Elsayed Roshdy
مشرف / Adham Ahmed abdeltawab
مناقش / Adham Ahmed abdeltawab
تاريخ النشر
2019.
عدد الصفحات
116p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
أمراض القلب والطب القلب والأوعية الدموية
تاريخ الإجازة
1/1/2019
مكان الإجازة
جامعة عين شمس - كلية الطب - امراض القلب
الفهرس
Only 14 pages are availabe for public view

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Abstract

H
eart Failure is a chronic disease that has a wide reaching effects on both mortality & morbidity of affected individuals despite advances in treatment. HF causes a major disability & functional limitations of physical activity in the patients. This limitation is closely related to the daily life activities which affects quality of life (QOL) and causes changes in the lifestyle imposed by the disease. Patients with HF have their lives affected by the disease and optimized care should be directed at aiming at decreasing these impacts on their quality of life.
In this study the aim is to assess the effect of iron deficiency on quality of life in CHF patients.
100 patients with documented history of chronic heart failure (EF < 40 % by echo) for more than 6 months were involved in the study. All patients were subjected to physical examination history taking regarding age, gender and risk profile including smoking, hypertension, Diabetes Mellitus and history of chronic kidney disease. A comprehensive echocardiographic examination was done according to the American Society of Echocardiography Guidelines on all patients in using a S5N Ver. 10.3.0 b.114 machine with an RS3 probe. Measurement of iron status was done for the patients using serum ferritin. Assessment of HRQoL was done using MLHFQ which determines mainly patients’ perception of their cardiac disability and the way it affects and impairs their QOL which includes mainly two main domains: physical & emotional domains.
Keywords: Iron Deficiency Health-Related Quality of Life chronic Heart Failure
SUMMARY
eart Failure is a chronic disease that has a wide reaching
effects on both mortality & morbidity of affected
individuals despite advances in treatment. HF causes a major
disability & functional limitations of physical activity in the
patients. This limitation is closely related to the daily life
activities which affects quality of life (QOL) and causes
changes in the lifestyle imposed by the disease. Patients with
HF have their lives affected by the disease and optimized care
should be directed at aiming at decreasing these impacts on
their quality of life.
In this study the aim is to assess the effect of iron
deficiency on quality of life in CHF patients.
100 patients with documented history of chronic heart
failure (EF < 40 % by echo) for more than 6 months were
involved in the study. All patients were subjected to physical
examination history taking regarding age, gender and risk
profile including smoking, hypertension, Diabetes Mellitus and
history of chronic kidney disease. A comprehensive
echocardiographic examination was done according to the
American Society of Echocardiography Guidelines on all
patients in using a S5N Ver. 10.3.0 b.114 machine with an
RS3 probe. Measurement of iron status was done for the
patients using serum ferritin. Assessment of HRQoL was done
using MLHFQ which determines mainly patients’ perception of
H
Summary 
62
their cardiac disability and the way it affects and impairs their
QOL which includes mainly two main domains: physical &
emotional domains.
Mean age of our patients was (57.1 ± 7.9) years. Sixty
one percent (61%) of the patients were males. Patients were
divided into 2 groups based on their serum ferritin into iron
deficient group (ID) & non iron deficient group (Non-ID).
There was no statistical significance between both groups
regarding age, gender, hemoglobin level & demographic data
and the only statistical difference was regarding serum ferritin
(p<0.001).
Results of MLHFQ in both ID & non ID groups were
compared showing higher over all summary score (OSS) in ID
group than non ID group with more affection of the physical
domain than the emotional domain. This means that Iron
deficiency significantly affects HRQoL which is more evident
physically than emotionally.
from this, we could suggest that ID is the key factor
having the major impact on health related quality of life, and
anemia is just an indicator of the more severe form of iron
depletion.