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.
Similar content being viewed by others
References
Olivieri NF (1999) The beta-thalassemia. N Engl J Med 341:99–109
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
Wood JC (2007) Diagnosis and management of transfusion iron overload: the role of imaging. Am J Hematol 82:1132–1135
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
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
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
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
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
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
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
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
Author information
Authors and Affiliations
Corresponding author
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
About this article
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
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12288-017-0797-9