Event Abstract

Iron Supplementation Relieves Dysautonomia in Non-Anemic Female

  • 1 Carrick Institute, United States

Background: A forty-six-year-old female presented with chief complaint of anxiety. She has a history of menorrhagia. Medications included transdermal progesterone. Supplements included multi-vitamin, phosphatidylserine, St. John’s Wort, and probiotic. Methods: A five-minute heart rate variability study was performed which showed normal heart rate variability and elevated mean heart rate (91 bpm) when compared to age and sex-related norms (figure 1). Heart rate variability testing when measured seated to standing showed total adaptive cardiovascular dysfunction (figure 2). Blood chemistry revealed low iron saturation (9) and clinically significant laboratory results as follows: RBC (4.0), hemoglobin (11.6), hematocrit (34.5), MCV (86), MCH (29), MCHC (33.6), RDW (14.6), TIBC (398), UIBC (362), iron (36), and ferritin (24). She was placed on iron supplementation (27 mg ferrous bis-glycinate chelate) twice daily. Results: After 30 days, symptoms of anxiety were relieved, five-minute resting heart rate reduced to a normal of 74 bpm (figure 3), and seated to standing heart rate variability testing showed normal cardiovascular adaptive dysfunction (figure 4). Conclusion: Treatment of iron deficiency in the absence of overt anemia might be helpful in the management of dysautonomia. Further investigation into iron supplementation in the treatment of patients with dysautonomia is suggested.

Figure 1
Figure 2
Figure 3
Figure 4

Keywords: iron deficiency, dysautonomia, Menorrhagia, Anxiety, Anemia

Conference: International Symposium on Clinical Neuroscience 2018, Orlando, Florida, United States, 24 May - 26 May, 2018.

Presentation Type: Poster

Topic: Clinical Applications in health, disease, and injury to the nervous system

Citation: Caffery C (2018). Iron Supplementation Relieves Dysautonomia in Non-Anemic Female. Front. Neurol. Conference Abstract: International Symposium on Clinical Neuroscience 2018. doi: 10.3389/conf.fneur.2018.60.00076

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Received: 31 Mar 2018; Published Online: 14 Dec 2018.

* Correspondence: Dr. Chris Caffery, Carrick Institute, Cape Canaveral, United States, drcaffery@gmail.com