The combined use of electrocardiography, echocardiography and cardiac magnetic resonance imaging in left atrium evaluation among beta-thalassemia patients

نویسندگان

چکیده

Abstract Funding Acknowledgements Type of funding sources: None. Introduction Beta-thalassemia major (β-TM) patients are subjected to iron overload as a consequence chronic blood transfusions. The redundant affects, among other organs, the heart resulting in myocardial dysfunction. Iron deposition does not only affect ventricular myocardium but atrial well. According current practice, overall status is estimated by calculating T2* at middle section septum using cardiac magnetic resonance imaging (CMR). Current CMR technology limits direct estimation status. Purpose study evaluates left function novel echocardiographic techniques and correlates these findings with data. Methods 37 β-TM (mean age 41.17 years (SD = 8.33), 51.4% male), were electrocardiography, echocardiography P wave axis, PR segment duration, volume index (LAVI), strain reservoir phase (LASr) measured. Results No correlation between LASr (r 0.253, p 0.131) or LAVI 0.044, 0.796) found. However, was found parameters -0.676, <0.001). axis did correlate any parameter, while duration correlated -0.399, 0.015). Regression analysis revealed (r2 0.457, Conclusions suggests that despite undisputed contribution load estimation, it may be less accurate estimation. Considering limitations regarding thin right walls, our highlights role speckle tracking combination for more comprehensive evaluation patients. Correlation table 0,151 (p 0,373) 0,112 0.,508) -0,140 0,410) -0,117 0,489) 0,051 0,766) 0,278 0,096) -0,399 0,015) 0,044 0,796) 0,253 0,131) -0,676 <0,001) T2*: obtained (ml/m2) Figure.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Evaluation of tissue doppler echocardiography and T2* magnetic resonance imaging in iron load of patients with thalassemia major

Background: Iron-mediated cardiomyopathy is the main complication of thalassemia major (TM) patients. Therefore, there is an important clinical need in the early diagnosis and risk stratification of patients. The aim of this study was to evaluate the efficacy of tissue doppler imaging (TDI) to study cardiac iron overload in patients with TM using T2* magnetic resonance (MR) as the gold-standard...

متن کامل

Diagnostic Value of NT-pro BNP Biomarker and Echocardiography in Cardiac Involvements in Beta-thalassemia Patients

Background N-terminal pro–B-type natriuretic peptide (NT-proBNP) is a marker to evaluate the cardiac involvement in thalassemia. We aimed to evaluate conventional and tissue Doppler echocardiography findings and its relation to plasma NT-pro BNP, Ferritin and Iron levels in beta-thalassemia patients. Materials and Methods This study performed on 164 participants equal of major beta- thalassemi...

متن کامل

Comparison of Magnetic Resonance Imaging T2 Results in Beta-Thalassemia Patients Treated by Deferasirox or Combination of Deferoxamine and Deferiprone

Background: Iron extra load is an anticipated and lethal consequence of chronic blood transfusion in major beta-thalassemia patients; therefore it is necessary to use an efficient iron chelator drug to stimulate the evacuation of the surplus iron from the body. This trial was performed to compare myocardial and hepatic magnetic resonance imaging T2 (MRI T2*) results of beta-thalassemia patients...

متن کامل

evaluation of tissue doppler echocardiography and t2* magnetic resonance imaging in iron load of patients with thalassemia major

background: iron-mediated cardiomyopathy is the main complication of thalassemia major (tm) patients. therefore, there is an important clinical need in the early diagnosis and risk stratification of patients. the aim of this study was to evaluate the efficacy of tissue doppler imaging (tdi) to study cardiac iron overload in patients with tm using t2* magnetic resonance (mr) as the gold-standard...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ژورنال

عنوان ژورنال: European Journal of Echocardiography

سال: 2021

ISSN: ['2047-2412', '2047-2404']

DOI: https://doi.org/10.1093/ehjci/jeaa356.159