[Functional status of the myocardium and rheologic properties of the blood in patients with iron-deficient anemia].

A study is presented of 38 patients with severe iron-deficiency anemia and 70 patients with non-severe iron-deficiency anemia. All patients showed hypotension with a mean arterial pressure from 70.0 to 76.6 mm Hg. With progression of the severity of iron- deficiency anemia the patients exhibited a reduction of the contractile function of the left ventricular myocardium accompanied by a simultaneous dilatation of its cavity. The hyperkinetic type of hemodynamics is considered as a compensatory reaction of the circulation in response to hypoxia while the state of peripheral hemodynamics evidences venous dilatation furthering high minute blood volume utilization of oxygen at the level of hemotissue barrier is disturbed. Correction of the cardiohemodynamic disorders in combination with ferrotherapy improved the contractile function of the myocardium.