Association between serum ferritin level and diastolic cardiac function in patients with major β-thalassemia
A Eghbali1, H Taherahmadi2, B Bagheri3
1Pediatric Hematologist & Oncologist, Department of Pediatrics, Arak University of Medical Sciences, Arak, Iran.
Insights
Serum ferritin levels significantly correlate with echocardiography parameters in major thalassemia patients. Regular echocardiography is recommended for assessing cardiac function and preventing mortality.
Area of Science:
- Cardiology
- Hematology
Background:
- Myocardial siderosis prevention is crucial for reducing mortality in thalassemia patients.
- Understanding the relationship between iron overload markers and cardiac function is vital.
Purpose of the Study:
- To investigate the association between echocardiography parameters and serum ferritin levels in major thalassemia patients.
Main Methods:
- Sixty-six major thalassemia patients were enrolled.
- Serum ferritin levels were measured using ELISA.
- Echocardiography assessed Ejection Fraction (EF), Fractional Shortening (FS), and E/A ratio.
Main Results:
- Significant correlations were found between serum ferritin levels and EF (r=0.3, P=0.05).
- A significant correlation was also observed between serum ferritin levels and FS.
- The study included 52% females and 48% males, with a mean age of 16 ± 9 years.
Conclusions:
- The significant association between serum ferritin levels and echocardiography parameters highlights the importance of cardiac monitoring.
- Echocardiography is beneficial for evaluating cardiac function in major thalassemia patients.
Background:
Prevention of myocardial siderosis is a key step to reduce rate of mortality in thalassemic patients. Our objective was to study association between echocardiography parameters and serum ferritin level in patients with major thalassemia.
Materials And Methods:
Sixty-six patients with major thalassemia were studied in Amir Kabir hospital, Arak, Iran. Serum ferritin levels were measured during 3 months in patients with no symptoms of infection. It was measured by enzyme-linked immunosorbent assay (ELISA). Ejection Fraction (EF), Fractional Shortening (FS) and Early/Late ratio (E/A) were studied by echocardiography.
Results:
Fifty two percent were female and 48% were male. Mean age was 16 ± 9 years and the age range was3-26years. Mean serum ferritin level was1912 ± 1748 ng/dl and its range was from 303 to 8333 ng/dl. There were significant correlations between serum ferritin level and EF(r=0.3 and P=0.05) and also between serum ferritin level and FS.
Conclusion:
Due to significant association between serum ferritin level and echo parameters, it is beneficial that all patients with major thalassemia undergo echocardiography to gain better understating about cardiac function.
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