Anemia and erythropoietin in heart failure.

Heart failure monitor Pub Date : 2008-01-01
Peter van der Meer, Erik Lipsic, Wiek H van Gilst, Dirk J van Veldhuisen
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Abstract

Anemia is frequently observed in patients with chronic heart failure (CHF) and is related to an impaired outcome. The origin of anemia in CHF is diverse and is associated with several factors including renal failure, resistance of the bone marrow to erythropoietin (EPO), hematinic deficiencies, and medication use. Recently, several small-scale clinical trials have shown that EPO treatment might improve clinical parameters in anemic heart failure patients. In addition, several preclinical studies have shown that EPO possesses non-hematopoietic effects. This current review focuses on the etiology, consequences, and treatment of anemia in heart failure patients. The pleiotropic effects of EPO in an experimental setting will also be discussed. Heart Fail Monit 2008;6(1):28-33.

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心力衰竭中的贫血和促红细胞生成素。
在慢性心力衰竭(CHF)患者中经常观察到贫血,并且与预后受损有关。CHF患者贫血的起源多种多样,与多种因素有关,包括肾功能衰竭、骨髓对促红细胞生成素(EPO)的抵抗、血液学缺陷和药物使用。最近,几项小规模临床试验表明,EPO治疗可能改善贫血性心力衰竭患者的临床参数。此外,一些临床前研究表明EPO具有非造血作用。本文综述了心力衰竭患者贫血的病因、后果和治疗。EPO在实验环境中的多效效应也将被讨论。心衰监测2008;6(1):28-33。
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