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June 13, 2003HeartOpen Access

Left ventricular remodelling, and systolic and diastolic function in young adults with thalassaemia major: a Doppler echocardiographic assessment and correlation with haematological data

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Key result

Young adults with beta thalassaemia exhibited abnormal left ventricular remodelling, increased volumes and mass, and reduced systolic function, with ejection fraction <50% in 33 of 197 patients.

Why the study?

Does beta thalassaemia major affect left ventricular morphology and function in young adults without clinical signs of cardiopulmonary involvement?

Population

197 young adults with beta thalassaemia major, following an adequate transfusional and chelation treatment…

Design

Cross-sectional

Authors

GBG. BosiUniversity of Milan

Discussion

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Implication

Subclinical LV impairment in asymptomatic young adults with beta thalassaemia supports surveillance imaging; leaves optimal ferritin targets for prevention open.

Study Design

Type

Observational (n=410)

Multicenter

No

Structured PICO

Does beta thalassaemia major affect left ventricular morphology and function in young adults without clinical signs of cardiopulmonary involvement?

P
Population
410 young adults, comprising 197 patients with beta thalassaemia on adequate transfusion and chelation therapy without clinical cardiopulmonary involvement, and 213 healthy controls.
C
Comparator
213 healthy subjects
O
Outcome
Left ventricular morphology and function (volumes, mass index, mass/volume ratio, ejection fraction, stroke volume, cardiac index, systemic vascular resistance, fractional shortening, mean velocity of circumferential shortening, stress, contractile state, diastolic function)surrogate

Young adults with beta thalassaemia major exhibit abnormal left ventricular remodelling and reduced systolic function, which is better preserved when serum ferritin is maintained below 1000 ng/ml.

Cite This Study

G. Bosi (2003) conducted an observational in beta thalassaemia (n=410). Beta thalassaemia vs. Healthy subjects was evaluated on Left ventricular morphology and function. Young adults with beta thalassaemia exhibited abnormal left ventricular remodelling, increased volumes and mass, and reduced systolic function, with ejection fraction <50% in 33 of 197 patients.

synapsesocial.com/papers/6a9451a4fde2ed39e1a0cc30https://doi.org/10.1136/heart.89.7.762
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Recommendations regarding quantitation in M-mode echocardiography: results of a survey of echocardiographic measurements.1978 · 7,475 citations
  2. 2Restrictive diastolic abnormalities identified by Doppler echocardiography in patients with thalassemia major.1990 · 183 citations
  3. 3Detection of Early Cardiac Dysfunction in Patients with Severe Beta-Thalassemia and Chronic Iron Overload1979 · 126 citations
  4. 4Physiologic mechanisms governing hemodynamic responses to positive inotropic therapy in patients with dilated cardiomyopathy.1988 · 133 citations
  5. 5Myocardial performance after arterial switch operation for transposition of the great arteries with intact ventricular septum.1988 · 91 citations