For the American College of Cardiology’s Eagle’s Eye View, Dr. Kim Eagle discusses recent advancements in the management of heart failure (HF). He begins with a state-of-the-art review on iron repletion for patients with HF and iron deficiency. Both the American College of Cardiology/American Heart Association and the European Society of Cardiology now recommend IV iron replacement for these patients to improve functional status and quality of life. Dr. Eagle highlights that the measurement of serum ferritin and transferrin saturation is crucial for diagnosing iron deficiency, and that IV iron can be particularly beneficial for hospitalized patients with heart failure.

Dr. Eagle then explores the diagnosis and management of ventricular septal defect (VSD) complicating acute myocardial infarction (MI). He emphasizes the importance of timely surgical intervention, supported by intra-aortic balloon pump or other mechanical aids, to manage these patients effectively. Lastly, Dr. Eagle provides practical guidance on the use of hemodynamic assessment through right heart catheterization in managing heart failure.

Reference: Eagle K. Iron Repletion and HF, Ventricular Septal Defect and Acute MI, Hemodynamic Assessment for HF. American College of Cardiology. Published July 10, 2024. Accessed July 19, 2024. https://www.acc.org/Latest-in-Cardiology/Articles/2024/07/10/15/02/eagles-eye-view-10july2024