Magnetic Resonance Comparison of Left-Right Heart Volumetric and Functional Parameters in Thalassemia Major and Thalassemia Intermedia Patients.

Objectives. To evaluate a population of asymptomatic thalassemia major (TM) and thalassemia intermedia (TI) patients using cardiovascular magnetic resonance (CMR). We supposed that TI group could be differentiated from the TM group based on T2∗ and that the TI group could demonstrate higher cardiac...

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Publicado en:BioMed Research International Vol. 2015; pp. 1 - 8
Autores principales: Liguori, Carlo, Pitocco, Francesca, Di Giampietro, Ilenia, De Vivo, Aldo Eros, Schena, Emiliano, Giurazza, Francesco, Sorrentino, Francesco, Zobel, Bruno Beomonte
Formato: equations & formulas research tables/charts Journal Article
Publicado: Wiley-Blackwell 4/2/2015
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 4/2/2015
      vid: 2015
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        109273876
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        10.1155/2015/857642
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        atl: Magnetic Resonance Comparison of Left-Right Heart Volumetric and Functional Parameters in Thalassemia Major and Thalassemia Intermedia Patients.
      aug:
        au:
          Liguori, Carlo
          Pitocco, Francesca
          Di Giampietro, Ilenia
          De Vivo, Aldo Eros
          Schena, Emiliano
          Giurazza, Francesco
          Sorrentino, Francesco
          Zobel, Bruno Beomonte
        affil: Department of Radiology, A.O.R.N. Cardarelli, Via Antonio Cardarelli 9, 80100 Naples, Italy
      sug:
        subj:
          Thalassemia Complications
          Heart Physiology
          Magnetic Resonance Imaging
          Thalassemia Physiopathology
          Human
          Italy
          Academic Medical Centers
          Retrospective Design
          Record Review
          Male
          Female
          Adult
          Middle Age
          Thalassemia Classification
          Thalassemia Epidemiology
          Severity of Illness
          Anemia Complications
          Oxidative Stress
          Data Analysis Software
          Linear Regression
          Spearman's Rank Correlation Coefficient
          Genomics
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Objectives. To evaluate a population of asymptomatic thalassemia major (TM) and thalassemia intermedia (TI) patients using cardiovascular magnetic resonance (CMR). We supposed that TI group could be differentiated from the TM group based on T2∗ and that the TI group could demonstrate higher cardiac output. Methods. A retrospective analysis of 242 patients with TM and TI was performed (132 males, 110 females; mean age 39.6±8 years; 186 TM, 56 TI). Iron load was assessed by T2∗ measurements; volumetric functions were analyzed using steady-state-free precession sequences. Results. Significant difference in left-right heart performance was observed between TM with iron overload and TI patients and between TM with iron overload and TM without iron overload (P<0.05); no significant differences were observed between TM without iron overload and TI patients. A significant correlation was observed between T2∗ and ejection fraction of right ventricle- (RV-) ejection fraction of left ventricle (LV); an inverse correlation was present among T2∗ values and end-diastolic volume of LV, end-systolic volume of LV, stroke volume of LV, end-diastolic volume of RV, end-systolic volume of RV, and stroke volume of RV. Conclusions. CMR is a leading approach for cardiac risk evaluation of TM and TI patients.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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