Magnetic Resonance Comparison of Left-Right Heart Volumetric and Functional Parameters in Thalassemia Major and Thalassemia Intermedia Patients

Abstract EN

Objectives.

To evaluate a population of asymptomatic thalassemia major (TM) and thalassemia intermedia (TI) patients using cardiovascular magnetic resonance (CMR).

We supposed that TI group could be differentiated from the TM group based on T 2 ∗ and that the TI group could demonstrate higher cardiac output.

Methods.

A retrospective analysis of 242 patients with TM and TI was performed (132 males, 110 females; mean age 39.6 ± 8 years; 186 TM, 56 TI).

Iron load was assessed by T 2 ∗ measurements; volumetric functions were analyzed using steady-state-free precession sequences.

Results.

Significant difference in left-right heart performance was observed between TM with iron overload and TI patients and between TM with iron overload and TM without iron overload ( P < 0.05 ); no significant differences were observed between TM without iron overload and TI patients.

A significant correlation was observed between T 2 ∗ and ejection fraction of right ventricle- (RV-) ejection fraction of left ventricle (LV); an inverse correlation was present among T 2 ∗ values and end-diastolic volume of LV, end-systolic volume of LV, stroke volume of LV, end-diastolic volume of RV, end-systolic volume of RV, and stroke volume of RV.

Conclusions.

CMR is a leading approach for cardiac risk evaluation of TM and TI patients.