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Fluctuation of Heart Failure with Preserved Ejection Fraction During the Course of Cardiorenal Anemia Syndrome: A Case Report

Author

Listed:
  • Shigenori Ito

    (Sankuro Hospital, Japan)

  • Tomoharu Koike

    (Sankuro Hospital, Japan)

  • Yoshio Matsushige

    (Sankuro Hospital, Japan)

  • Koji Takasugi

    (Sankuro Hospital, Japan)

  • Shinji Kato

    (Sankuro Hospital, Japan)

Abstract

Heart failure (HF) with preserved ejection function (HFpEF) has a high prevalence in older adults. HF in the elderly tends to be complicated by renal failure and anemia, known as cardio-renal anemia syndrome (CRAS), with each pathology adversely affecting the other, leading to a negative spiral. The temporal evolution from the onset of HFpEF in CRAS is not well understood. We experienced an elderly case in which the initial onset of CRAS was followed by repeated exacerbations with HFpEF. Multiple medications, including a sodium-glucose cotransporter-2 inhibitor and an angiotensin receptor neprilysin inhibitor, were effective in conjunction with extensive cardiac rehabilitation. Our case highlights the difficulty of treating HFpEF with CRAS.

Suggested Citation

  • Shigenori Ito & Tomoharu Koike & Yoshio Matsushige & Koji Takasugi & Shinji Kato, 2023. "Fluctuation of Heart Failure with Preserved Ejection Fraction During the Course of Cardiorenal Anemia Syndrome: A Case Report," European Journal of Medical and Health Sciences, European Open Science, vol. 5(4), pages 19-22, July.
    • Handle: RePEc:epw:ejmed0:v:5:y:2023:i:4:id:41872
    DOI: 10.24018/ejmed.2023.5.4.1872
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