Skip to main content
Log in

A Comparison Between MRIT2 and NT-ProBNP in Early Detection of Heart Diseases in Thalassemia Major Patients: A Cross-Sectional Study

  • Original Article
  • Published:
Indian Journal of Hematology and Blood Transfusion Aims and scope Submit manuscript

Abstract

One of the most common causes of mortality in major thalassemia is cardiac complications. Despite existence of several methods for diagnosis of cardiac complications in thalassemia, this sequel persists as a major problem in these patients. The aim of this study is to compare the level of serum NT-ProBNP and cardiac MRI T2* in early detection and treatment of cardiac disorders in beta thalassemia major patients. 35 major thalassemic patients on regular transfusion were selected in our center from 2013 to 2014. All of the patients were at least 8 years old. NT-ProBNP and MRIT2* analyses were carried out for these patients, and consequently the findings were compared together and analyzed. There is a strong correlation between NT-ProBNP and MRIT2* (p value < 0.001) in early detection of cardiac disorders. NT-ProBNP is an important marker for diagnosis of cardiac complications before emergence of heart failure in thalassemic patients. Given the findings of this study, it is recommended that this marker be used on a regular basis for thalassemic patients on regular transfusion.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Olivieri NF (1999) The beta-thalassemia. N Engl J Med 341:99–109

    Article  CAS  PubMed  Google Scholar 

  2. Tanner MA, Galanello R, Dessi C, Smith GC, Westwood MA, Agus A, Pibiri M, Nair SV, Walker JM, Pennell DJ (2008) Combined chelation therapy in thalassemia major for the treatment of severe myocardial siderosis with left ventricular dysfunction. J Cardiovasc Magn Reson 10:12–17

    Article  PubMed  PubMed Central  Google Scholar 

  3. Wood JC (2007) Diagnosis and management of transfusion iron overload: the role of imaging. Am J Hematol 82:1132–1135

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Kirk P, Roughton M, Porter JB, Walker JM, Tanner MA, Patel J, Wu D, Taylor J, Westwood MA, Anderson LJ, Pennell DJ (2009) Cardiac T2* magnetic resonance for prediction of cardiac complication in thalassemia major. Circulation 120:1461–1468

    Article  Google Scholar 

  5. Anderson LJ, Holden S, Davis B, Prescott E, Charrier CC, Bunce NH, Firmin DN, Wonke B, Porter J, Walker JM, Pennell DJ (2001) Cardiovascular T2-star (T2*) magnetic resonance for the early diagnosis of myocardial iron overload. Eur Heart J 22(23):2171–2179

    Article  CAS  PubMed  Google Scholar 

  6. Isma’eel H, El Chafic AH, El Rassi F, Inati A, Koussa S, Daher R, Gharzuddin W, Alam S, Taher A (2008) Relation between iron-overload indices, cardiac echo-Doppler, and biochemical markers in thalassemia intermedia. Am J Cardiol 102(3):363–367

    Article  PubMed  Google Scholar 

  7. Kremastinos DT, Tsiapras DP, Kostopoulou AG, Hamodraka ES, Chaidaroglou AS, Kapsali ED (2007) NT-ProBNP levels and diastolic dysfunction in beta-thalassaemia major patients. Eur J Heart Fail 9(5):531–536

    Article  CAS  PubMed  Google Scholar 

  8. Akpinar O, Acartürk E, Kanadaşi M, Unsal C, Başlamişli F (2007) Tissue doppler imaging and NT-ProBNP levels show the early impairment of ventricular function in patients with beta-thalassaemia major. Acta Cardiol 62(3):225–231

    Article  PubMed  Google Scholar 

  9. Atiq M, Bana M, Ahmed US, Bano S, Yousuf M, Fadoo Z, Khurshid M (2006) Cardiac disease in beta-thalassaemia major: Is it reversible? Singap Med J 47(8):693–696

    CAS  Google Scholar 

  10. Bayraktaroğlu S, Aydinok Y, Yildiz D, Uluer H, Savaş R, Alper H (2011) The relationship between the myocardial T2* value and left ventricular volumetric and functional parameters in thalassemia major patients. Diagn Interv Radiol 17(4):346–351

    PubMed  Google Scholar 

  11. Kremastinos DT, Hamodraka E, Parissis J, Tsiapras D, Dima K, Maisel A (2010) Predictive value of B-type natriuretic peptides in detecting latent left ventricular diastolic dysfunction in beta-thalassemia major. Am Heart J 159(1):68–74

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Hesameddin Hoseini Tavassol.

Ethics declarations

Conflict of interest

This article does not include any conflict of interests or financial supports.

Ethical Approval

All procedures performed in the study were in accordance with the ethical standards of Shahid Beheshti University of Medical Science research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Goudarzipour, K., Alizadeh, P., Tavassol, H.H. et al. A Comparison Between MRIT2 and NT-ProBNP in Early Detection of Heart Diseases in Thalassemia Major Patients: A Cross-Sectional Study. Indian J Hematol Blood Transfus 33, 541–544 (2017). https://doi.org/10.1007/s12288-017-0797-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12288-017-0797-9

Keywords

Navigation