Westwood, MA and Wonke, B and Maceira, AM and Prescott, E and Walker, JM and Porter, JB and Pennell, DJ (2005) Left ventricular diastolic function compared with T2*cardiovascular magnetic resonance for early detection of myocardial iron overload in thalassemia major. J MAGN RESON IMAGING , 22 (2) 229 - 233. 10.1002/jmri.20379.
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Purpose: To compare left ventricular (LV) diastolic function with myocardial iron levels in beta thalassemia major (TM) patients, using cardiovascular magnetic resonance (CMR).Materials and Methods: We studied 67 regularly transfused patients with TM and 22 controls matched for age, gender, and body surface area. The early peak filling rate (EPFR) and atrial peak filling rate (APFR) were determined from high-temporal-resolution ventricular volume-time curves. Myocardial iron estimation was achieved using myocardial T2* measurements.Results: Myocardial iron loading was found in 46 TM patients (69%), in whom the EPFR correlated poorly with T2* (r = -0.20, P = 0.19). The APFR (r = 0.49, P < 0.001) and EPFR/APFR ratio (r = -0.62, P < 0.001) correlated better with T2*. The sensitivity of the diastolic parameters for detecting myocardial iron loading ranged from 4% (EPFR and APFR) to 17% (EPFR/APFR ratio).Conclusion: Myocardial iron overload results in diastolic myocardial dysfunction, but low sensitivity limits the use of a single estimation for early detection of iron overload, for which T2* has a superior categorical limit of normality.
|Title:||Left ventricular diastolic function compared with T2*cardiovascular magnetic resonance for early detection of myocardial iron overload in thalassemia major|
|Keywords:||cardiomyopathy, thalassemia, magnetic resonance imaging, diastolic function, iron overload, BETA-THALASSEMIA, DOPPLER-ECHOCARDIOGRAPHY, HEART-FAILURE, SURVIVAL, REPRODUCIBILITY, ABNORMALITIES, DEFEROXAMINE, TRANSFUSION, DYSFUNCTION, CHELATION|
|UCL classification:||UCL > School of Life and Medical Sciences > Faculty of Medical Sciences > Wolfson Institute and Cancer Institute Administration > Cancer Institute > Research Department of Haematology|
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