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Diagnostic Modalities in Detecting Cardiovascular Complications of Thalassemia
Pandji I Fianza1,2,3, Alvinsyah A Pramono2, Mohammad Ghozali2,4
1Department of Internal Medicine, Division of Hematology and Medical Oncology, Faculty of Medicine, Universitas Padjadjaran/Hasan Sadikin General Hospital, 40161 Bandung, West Java, Indonesia.
Insights
Thalassemia major patients require monitoring for iron overload due to chronic transfusions. Cardiac iron toxicity can cause heart failure, but non-invasive imaging aids diagnosis and monitoring.
Area of Science:
- Hematology
- Cardiology
- Medical Imaging
Background:
- Thalassemia major is a prevalent monogenetic disorder causing chronic hemolytic anemia.
- Chronic blood transfusions in thalassemia major can lead to iron overload.
- Iron deposition in cardiomyocytes causes cardiac toxicity, including heart failure, conduction delays, myocarditis, and arrhythmias.
Purpose of the Study:
- To review the role of non-invasive imaging modalities in diagnosing and monitoring cardiac siderosis in thalassemia major.
- To discuss the benefits and limitations of various imaging techniques for assessing cardiac iron overload.
Main Methods:
- Review of current literature on non-invasive imaging for cardiac siderosis in thalassemia major.
- Analysis of diagnostic capabilities and monitoring applications of different imaging modalities.
Main Results:
- Non-invasive imaging modalities offer valuable tools for assessing cardiac iron overload.
- Each imaging technique presents unique advantages and disadvantages.
- A comprehensive approach utilizing multiple modalities provides thorough diagnostic and monitoring capabilities.
Conclusions:
- Non-invasive imaging is crucial for managing cardiac complications in thalassemia major.
- Understanding the strengths and weaknesses of each modality optimizes patient care.
- Integrated imaging strategies ensure effective monitoring of cardiac siderosis and prevention of toxicity.
Abstract:
Thalassemia major is the most common monogenetic disorder worldwide, manifested as chronic hemolytic anemia. This condition leads to the need for chronic blood transfusion to be monitored for an iron overload that may be stored in several tissues and organs, including cardiomyocytes, that might cause a broad spectrum of cardiac iron toxicities such as heart failure conduction delays, myocarditis, and arrhythmias. Non-invasive imaging modalities have their benefits and limitations. Each modality complements and generates a comprehensive diagnostic and monitoring of cardiac siderosis in thalassemia major patients.
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