Abstract:Thalassemia patients have regional systolic dysfunction in the lateral LV wall and regional diastolic dysfunction in the septal and RV wall. TVI and the newer modality SI are promising tools for quantitative assessment of regional myocardial function. SI seems more capable of early detection of regional myocardial dysfunction.
“…Tissue Doppler imaging can detect regional systolic and diastolic myocardial dysfunction earlier than global dysfunction in thalassemia patients [8][9][10][11][12][13]. Our results were in accordance with previous studies; [8].…”
Section: Discussionsupporting
confidence: 95%
“…Therefore, T2* MR is still unsuitable for screening of patients with TM. Previous studies have reported that tissue Doppler imaging (TDI) can detect early myocardial dysfunction related to iron overload [8][9][10][11][12][13].…”
Tissue Doppler imaging (TDI) can detect myocardial dysfunction related to iron load in patients with beta-thalassemia major (TM). We aimed to assess the efficacy of pulsed-wave TDI (PW-TDI) in predicting myocardial iron load in patients with TM using T2* magnetic resonance (MR) as the gold-standard non-invasive diagnostic test. 33 asymptomatic TM patients, mean aged 18 +/- 6 years (6-31) with normal left ventricular (LV) global systolic function were evaluated by conventional echocardiography and PW-TDI. Results were compared with 20 age and sex-matched controls. TDI measures included myocardial systolic (Sm), early (Em) and late (Am) diastolic velocities at basal and middle segments of septal and lateral LV wall. Myocardial iron deposition were measured in 29/33 patients by T2* MR. TM patients were also subgrouped according to those with iron load (T2* 20 ms). Mean T2* was 12.3 +/- 7.8 ms (4-31.3). Abnormal myocardial iron load (T2* < 20 ms) was found in 25/29 (86%) patients. The following TDI measures were lower in patients than in controls: basal septal Em (P < 0.001) and Am (P < 0.05), mid-septal Am (P < 0.05), mid-lateral LV wall Sm (P < 0.05) and Am (P < 0.05). Regional myocardial dysfunction were more prominent in patients with T2*
“…Tissue Doppler imaging can detect regional systolic and diastolic myocardial dysfunction earlier than global dysfunction in thalassemia patients [8][9][10][11][12][13]. Our results were in accordance with previous studies; [8].…”
Section: Discussionsupporting
confidence: 95%
“…Therefore, T2* MR is still unsuitable for screening of patients with TM. Previous studies have reported that tissue Doppler imaging (TDI) can detect early myocardial dysfunction related to iron overload [8][9][10][11][12][13].…”
Tissue Doppler imaging (TDI) can detect myocardial dysfunction related to iron load in patients with beta-thalassemia major (TM). We aimed to assess the efficacy of pulsed-wave TDI (PW-TDI) in predicting myocardial iron load in patients with TM using T2* magnetic resonance (MR) as the gold-standard non-invasive diagnostic test. 33 asymptomatic TM patients, mean aged 18 +/- 6 years (6-31) with normal left ventricular (LV) global systolic function were evaluated by conventional echocardiography and PW-TDI. Results were compared with 20 age and sex-matched controls. TDI measures included myocardial systolic (Sm), early (Em) and late (Am) diastolic velocities at basal and middle segments of septal and lateral LV wall. Myocardial iron deposition were measured in 29/33 patients by T2* MR. TM patients were also subgrouped according to those with iron load (T2* 20 ms). Mean T2* was 12.3 +/- 7.8 ms (4-31.3). Abnormal myocardial iron load (T2* < 20 ms) was found in 25/29 (86%) patients. The following TDI measures were lower in patients than in controls: basal septal Em (P < 0.001) and Am (P < 0.05), mid-septal Am (P < 0.05), mid-lateral LV wall Sm (P < 0.05) and Am (P < 0.05). Regional myocardial dysfunction were more prominent in patients with T2*
“…Numerous studies have elucidated the utility of strain rate imaging in the detection of myocardial diseases even in their subclinical stages, also as myocardial involvement in non-cardiac diseases, such as amyloidosis, diabetic heart disease, beta-thalassemia, Friedriech ataxia and others (74)(75)(76)(77)(78). It is also helpful in distinguishing between hypertrophic cardiomyopathy, athelete's heart and hypertrophy caused by hypertension (79,80).…”
Section: Figure 5 Normal Longitudinal Strain Pattern In the Color Dmentioning
“…Some reports indicate Doppler-echocardiogram with tissue Doppler as a promising technique for this situation [12][13][14][15][16][17][18][19] . However, data obtained by this method are still scarce, particularly in relation to left ventricular diastolic function and right ventricular structure and function.…”
Background: Patients with thalassemia major present chronic hemolysis and require regular blood transfusions which may cause iron overload cardiomyopathy and chronic heart failure. Hemochromatosis is characterized by excessive iron accumulation in tissues, and heart involvement is the main cause of death in patients with thalassemia.
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