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Cardiovascular Sequelae of Sickle Cell Disease
Amandeep Aujla1, Dibyendu Dutta2, Salomon Amar3
1From the Department of Medicine, Westchester Medical Center.
Insights
Sickle cell disease (SCD) causes serious heart and lung issues, remaining a leading cause of death. This review explores SCD
Area of Science:
- Hematology
- Cardiology
- Genetics
Background:
- Sickle cell disease (SCD) is a prevalent inherited blood disorder globally.
- Cardiopulmonary complications are the primary cause of mortality in SCD patients.
- SCD affects multiple organ systems, leading to significant patient morbidity.
Purpose of the Study:
- To examine the pathophysiology of sickle cell vasculopathy.
- To discuss the spectrum of cardiovascular complications in SCD.
- To highlight the impact of SCD on cardiovascular health.
Main Methods:
- Literature review of SCD pathophysiology.
- Analysis of cardiovascular sequelae in SCD.
- Discussion of underlying mechanisms including hemolysis, hypoxia, oxidative stress, and autonomic dysfunction.
Main Results:
- SCD induces a range of cardiovascular complications.
- Mechanisms include chronic hemolysis, tissue hypoxia, oxidative stress, and autonomic instability.
- These factors contribute to significant cardiovascular morbidity in SCD patients.
Conclusions:
- Cardiopulmonary complications are critical in SCD mortality.
- Understanding SCD's cardiovascular impact is vital for patient management.
- Further research into SCD's cardiovascular effects is warranted.
Abstract:
Sickle cell disease (SCD) is one of the most common hereditary hemoglobinopathies worldwide. It is a multisystem disease that causes considerable patient morbidity. Despite advances in medical treatment, cardiopulmonary complications remain the most common cause of death in individuals with SCD. A growing body of evidence has shown that SCD results in a spectrum of cardiovascular complications through a variety of mechanisms, including chronic hemolysis, local tissue hypoxia, increased oxidative stress, and autonomic instability. Herein, we will examine the pathophysiology of sickle cell vasculopathy and discuss the spectrum of cardiovascular sequelae of the disease, while highlighting the impact of SCD on the cardiovascular health of the patients.
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