PMID- 15203265
OWN - NLM
STAT- MEDLINE
DCOM- 20041102
LR  - 20131121
IS  - 0167-5273 (Print)
IS  - 0167-5273 (Linking)
VI  - 96
IP  - 1
DP  - 2004 Jul
TI  - Prevalence of anemia in patients admitted to hospital with a primary diagnosis of 
      congestive heart failure.
PG  - 79-87
AB  - OBJECTIVES: To find the prevalence of anemia in patients hospitalized with the 
      primary diagnosis of congestive heart failure (CHF). BACKGROUND: There is growing 
      evidence that anemia is common in CHF and may contribute to the high morbidity 
      and mortality associated with this condition. However, there is considerable 
      disagreement about the prevalence of anemia in this condition. METHODS: In 338 
      consecutive patients who were admitted to the medical wards with a primary 
      diagnosis of CHF we extracted from the charts the hemoglobin (Hb), serum 
      creatinine, age, sex, New York Heart Association (NYHA) functional class, 
      presence of smoking, diabetes, hypertension, hyperlipidemia and the primary 
      cardiac etiology of the CHF. Anemia was considered to be present when the Hb on 
      admission was <12 g/dl. RESULTS: All the patients were NYHA functional class 
      III-IV. One hundred seventy seven (52.4%) of the 338 patients had a Hb on 
      admission that was <12 g/dl. The mean Hb for the entire group was 12.0+/-1.8 
      g/dl. One hundred three (51.0%) of the 202 males were anemic compared to 74 
      (54.4%) of the 136 women. The mean serum creatinine was 1.7+/-1.1 mg/dl. The 
      prevalence of renal insufficiency (serum creatinine >1.5 mg%) was 47.6%. There 
      was a negative correlation between the level of serum creatinine and Hb 
      (r=-0.294) P<0.00001. Of the 177 patients who were anemic, most of 114 (64.4%) 
      had a serum creatinine >1.5 mg/dl. CONCLUSIONS: Anemia is a common finding in 
      patients hospitalized with CHF and most anemic CHF patients have some degree of 
      renal insufficiency. In view of the negative effect of anemia on cardiac 
      function, it may be a common and important contributor to the mortality and 
      morbidity of CHF in these patients.
FAU - Wexler, Dov
AU  - Wexler D
AD  - Cardiology and Heart Failure Unit, Tel Aviv Souraski Medical Center, Weizman 6, 
      64239 Tel Aviv, Israel.
FAU - Silverberg, Donald
AU  - Silverberg D
FAU - Sheps, David
AU  - Sheps D
FAU - Blum, Miriam
AU  - Blum M
FAU - Keren, Gad
AU  - Keren G
FAU - Iaina, Adrian
AU  - Iaina A
FAU - Schwartz, Doron
AU  - Schwartz D
LA  - eng
PT  - Journal Article
PL  - Netherlands
TA  - Int J Cardiol
JT  - International journal of cardiology
JID - 8200291
RN  - 0 (Hemoglobins)
RN  - AYI8EX34EU (Creatinine)
SB  - IM
MH  - Aged
MH  - Anemia/blood/*complications
MH  - Creatinine/blood
MH  - Female
MH  - Heart Failure/blood/*complications
MH  - Hemoglobins/metabolism
MH  - Hospitalization
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Renal Insufficiency/blood/complications
MH  - Retrospective Studies
MH  - Risk Factors
EDAT- 2004/06/19 05:00
MHDA- 2004/11/04 09:00
CRDT- 2004/06/19 05:00
PHST- 2003/01/20 00:00 [received]
PHST- 2003/04/06 00:00 [accepted]
PHST- 2004/06/19 05:00 [pubmed]
PHST- 2004/11/04 09:00 [medline]
PHST- 2004/06/19 05:00 [entrez]
AID - S0167527303004789 [pii]
AID - 10.1016/j.ijcard.2003.04.073 [doi]
PST - ppublish
SO  - Int J Cardiol. 2004 Jul;96(1):79-87. doi: 10.1016/j.ijcard.2003.04.073.