Cardiogenic shock as the most serious complication of MI. How to improve patients’ prognosis?

Cardiogenic shock is usually associated with an extensive damage of the left ventricle connected with myocardial infarction. Frequency of cardiogenic shock in MI ranges from 5% to 10%, but it can also occur as a complication of right ventricular infarction (3% of cases). There are, however, other causes of the shock: valvular dysfunction (12%) or impaired blood flow in e.g. cardiac tamponade. Read full text »

Anemia in heart failure – should we use iron supplementation in patients with chronic heart failure?

The previously conducted clinical trials, randomized and nonrandomized attempts were made to assess the effectiveness of erythropoietin and iron supplementation in the treatment of anemia in patients with congestive heart failure.

Population, severity of heart failure and diagnostic criteria are the elements that influence the incidence of anemia (from 10% to 50%). The factors which are responsible for the increase in the prevalence of anemia include: an aging population, increased use of angiotensin-converting enzyme inhibitors (ACEI) and angiotensin receptor blockers (ARBs).
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