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February 4, 2011Heart

Quantification of myocardial iron deposition by two-dimensional speckle tracking in patients with β-thalassaemia major and Blackfan–Diamond anaemia

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Key result

Echocardiographic global longitudinal strain correlated with cardiac MRI T2* values (r=-0.68, p=0.0007), with a ≤-17% cut-off predicting T2* <20 ms with 76% sensitivity and 88% specificity.

Why the study?

Does two-dimensional speckle tracking echocardiography accurately detect myocardial iron deposition compared to cardiac MRI T2* in chronically transfused patients with β-thalassaemia major or Diamond-Blackfan anaemia?

Population

45 chronically transfused patients with β-thalassaemia major or Diamond-Blackfan anaemia divided into low…

Comparison

Two-dimensional echocardiographic speckle tracking vs Cardiac MRI T2* calculations

Design

Cross-sectional

Authors

PGPatrick GarceauMontreal Heart InstituteENElsie T. NguyenImaging CenterSCShemy CarassoHadassah Medical Center

Discussion

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Member takes

Overview

GLS may aid noninvasive screening for myocardial iron in transfusion-dependent anemias; hypothesis-generating and requires prospective validation before replacing MRI.

Study Design

Type

Observational (n=63)

Structured PICO

Does two-dimensional speckle tracking echocardiography accurately detect myocardial iron deposition compared to cardiac MRI T2* in chronically transfused patients with β-thalassaemia major or Diamond-Blackfan anaemia?

P
Population
63 participants, including 45 chronically transfused patients with β-thalassaemia major or Diamond-Blackfan anaemia and 18 age- and gender-matched normal controls.
E
Exposure
Two-dimensional echocardiographic speckle tracking (assessing longitudinal strain, circumferential strain, peak twist, and peak apical rotation)
C
Comparator
Cardiac MRI T2* calculations
O
Outcome
Correlation between average global longitudinal strain and T2* values, and diagnostic accuracy of strain for predicting T2* <20 mssurrogate

Main Result

Effect estimate: r=-0.68

p-value: p=0.0007

Echocardiographic speckle tracking, specifically global longitudinal strain, offers a simple and accurate alternative to cardiac MRI for assessing significant myocardial iron deposition in patients with transfusion-dependent anemias.

Cite This Study

Garceau et al. (2011) conducted an observational in β-thalassaemia major and Diamond-Blackfan anaemia with presumed cardiac iron overload (n=63). Echocardiographic speckle tracking vs. Cardiac MRI T2* was evaluated on Correlation between average global longitudinal strain and T2* values (r=-0.68, p=0.0007). Echocardiographic global longitudinal strain correlated with cardiac MRI T2* values (r=-0.68, p=0.0007), with a ≤-17% cut-off predicting T2* <20 ms with 76% sensitivity and 88% specificity.

synapsesocial.com/papers/6a9fb9697b6409934544a979https://doi.org/10.1136/hrt.2010.192641
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Also Consider

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

  1. 1Assessment of left ventricular functions and myocardial iron load with tissue Doppler and speckle tracking echocardiography and T2* MRI in patients with β‐thalassemia major2017 · 28 citations
  2. 2A two-dimensional speckle-tracking echocardiography for the diagnosis of early myocardial disease in beta-thalassemia major patients2022 · 5 citations
  3. 3The correlation between cardiac magnetic resonance T2* and left ventricular global longitudinal strain in people with β‐thalassemia2018 · 23 citations
  4. 4Evaluation of left ventricular function and myocardial deformation in children with beta‐thalassemia major by real‐time three‐dimensional (four‐dimensional) and speckle tracking echocardiography2022 · 10 citations
  5. 5Strain Imaging by Speckle Tracking for the Assessment of Diastolic Dysfunction in Beta-Thalassemia Major Patients2021 · 3 citations