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January 1, 2020Iraqi Journal of HematologyOpen Access

Evaluation of cardiac complications in transfusion-dependent thalassemia (TDT) and non-transfusion dependent thalassemia (NTDT) beta thalassemia patients

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Key result

Transfusion-dependent thalassemia is linked to ~19% DCM, while non-dependent patients primarily have pulmonary hypertension.

  • n=120

Why the study?

Cardiac complications remain the primary cause of mortality and major morbidity in thalassemia patients, necessitating assessment of prevalence and differences between TDT and NTDT patients.

Population

70 TDT and 50 NTDT beta thalassemia patients

Comparison

Cardiac involvement in TDT vs NTDT beta thalassemia patients

Design

Prospective observational study

Authors

MNMarahSudad NameqRSRawandP ShamoonMSMariwanH Saka

Discussion

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Overview

Supports subtype-specific cardiac surveillance in thalassemia; hypothesis-generating for prospective outcome studies.

Study Design

Type

Observational (n=120)

Structured PICO

P
Population
120 adult patients with transfusion-dependent and non-transfusion dependent beta thalassemia evaluated prospectively for cardiac complications.
O
Outcome
Prevalence of cardiac involvement evaluated by transthoracic echocardiographysurrogate

In beta-thalassemia patients, dilated cardiomyopathy is the prevailing cardiac complication in transfusion-dependent patients, while pulmonary hypertension is more common in non-transfusion dependent patients.

Cite This Study

Nameq et al. (2020) conducted an observational in beta thalassemia (n=120). Transfusion-dependent thalassemia (TDT) vs. Non-transfusion dependent thalassemia (NTDT) was evaluated on Prevalence of cardiac involvement. Transfusion-dependent thalassemia was associated with dilated cardiomyopathy (18.6%), while pulmonary hypertension was the main cardiac complication in non-transfusion dependent patients (30%).

synapsesocial.com/papers/6aae20786dd305e249d2e6edhttps://doi.org/10.4103/ijh.ijh_12_19
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Also Consider

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

  1. 1Cardiac involvement in thalassemia intermedia: a multicenter study2001 · 297 citations
  2. 2Cardiovascular Function and Treatment in β-Thalassemia Major2013 · 394 citations
  3. 3Left ventricular remodelling, and systolic and diastolic function in young adults with thalassaemia major: a Doppler echocardiographic assessment and correlation with haematological data2003 · 87 citations
  4. 4Doppler Characterization of Left Ventricular Diastolic Function in β-Thalassaemia Major. Evidence for an Early Stage of Impaired Relaxation2002 · 40 citations
  5. 5Pulmonary Hypertension in β‐Thalassemia2005 · 101 citations