Question

A 62-year-old with HFrEF (EF 30%) on ARNI, beta-blocker, and MRA remains euvolemic. Which intervention improves functional capacity and reduces HF hospitalization in iron-deficient patients (ferritin 80 ng/mL, TSAT 18%)?

Accepted Answer

In HFrEF with iron deficiency (e.g., ferritin 100-299 ng/ml with tsat <20% or ferritin <100 ng/ml)

Answer

Stop SGLT2 inhibitor

Answer

Oral iron therapy for 6 months

Answer

Erythropoiesis-stimulating agent

Answer

Transfusion to Hgb 12 g/dL

Practice question

A 62-year-old with HFrEF (EF 30%) on ARNI, beta-blocker, and MRA remains euvolemic. Which intervention improves functional capacity and reduces HF hospitalization in iron-deficient patients (ferritin 80 ng/mL, TSAT 18%)?