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Updated: Jun 23, 2025

A Precision Medicine Tool for Measurement and Monitoring of Hemoglobin S in Sickle Cell Disease Patients Receiving Transfusion Therapy
Electrocardiographic findings in patients with sickle cell disease: A protocol for systematic review and
Alireza Sadeghi1, Ehsan Taherifard2, Hamed Movahed2
1Student Research Committee Shiraz University of Medical Sciences Shiraz Iran.
Insights
Electrocardiogram (ECG) abnormalities are common in sickle cell disease (SCD). This review identifies factors linked to these cardiac findings, guiding better patient management and screening for cardiovascular risks.
Area of Science:
- Cardiology
- Hematology
- Public Health
Background:
- Cardiovascular complications are a major concern in sickle cell disease (SCD) management.
- Electrocardiography (ECG) is crucial for diagnosing cardiac issues in SCD patients.
- High rates of critical ECG findings necessitate proactive cardiac screening in SCD.
Purpose of the Study:
- To systematically review literature on factors associated with ECG abnormalities in SCD patients.
- Identify sociodemographic, clinical, and paraclinical predictors of cardiac findings in SCD.
- Inform improved cardiac screening and management strategies for SCD.
Main Methods:
- Comprehensive literature search across major databases (PubMed, Embase, Scopus, Web of Science, Google Scholar).
- Inclusion of original articles reporting associations between variables and ECG findings in SCD.
- Quantitative analysis using random-effect model with subgroup analyses by SCD status, hemoglobinopathy type, and age.
Main Results:
- This section is to be populated upon study completion.
Conclusions:
- This section is to be populated upon study completion.
Background:
Despite advancements in the management of patients with sickle cell disease (SCD), the involvement of the cardiovascular system in these patients remains a significant concern. Cardiovascular manifestations of SCD are well-documented, with electrocardiography (ECG) serving as a valuable diagnostic tool. Studies have reported a high rate of critical ECG findings in patients with SCD that warrants consideration when managing these patients, indicating the need for proactive cardiac screening and management strategies in this patient population. This study aims to systematically review the literature to identify sociodemographic, clinical, and paraclinical factors associated with ECG abnormalities in patients with SCD.
Methods:
A comprehensive search strategy will be employed across multiple online databases, including PubMed, Embase, Scopus, Web of Science, and Google Scholar, for published and gray literature. Eligible studies will include original articles reporting associations between sociodemographic, clinical, and paraclinical variables and a spectrum of ECG findings in patients with SCD. Independent reviewers will conduct the screening, quality assessment, and data extraction. Quantitative analyses will be performed under a random-effect model using Comprehensive Meta-Analysis software, with subgroup analyses based on SCD status, sickle hemoglobinopathy form, and age group.
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