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地中海贫血心血管并发症检测中的诊断方法

Diagnostic Modalities in Detecting Cardiovascular Complications of Thalassemia.

作者信息

Fianza Pandji I, Pramono Alvinsyah A, Ghozali Mohammad, Sihite Teddy A, Setiabudi Djatnika, Syamsunarno Mas R A A, Fucharoen Suthat, Panigoro Ramdan

机构信息

Department of Internal Medicine, Division of Hematology and Medical Oncology, Faculty of Medicine, Universitas Padjadjaran/Hasan Sadikin General Hospital, 40161 Bandung, West Java, Indonesia.

Research Center of Medical Genetics, Faculty of Medicine, Universitas Padjadjaran, 40161 Bandung, West Java, Indonesia.

出版信息

Rev Cardiovasc Med. 2022 Jul 22;23(8):267. doi: 10.31083/j.rcm2308267. eCollection 2022 Aug.

DOI:10.31083/j.rcm2308267
PMID:39076648
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11266957/
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.

摘要

重型地中海贫血是全球最常见的单基因疾病,表现为慢性溶血性贫血。这种情况导致需要长期输血并监测可能储存在包括心肌细胞在内的多个组织和器官中的铁过载,这可能会引起广泛的心脏铁毒性,如心力衰竭、传导延迟、心肌炎和心律失常。非侵入性成像方式有其优点和局限性。每种方式相互补充,有助于对重型地中海贫血患者的心脏铁沉着症进行全面的诊断和监测。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe69/11266957/9d8ff7525eef/2153-8174-23-8-267-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe69/11266957/9d8ff7525eef/2153-8174-23-8-267-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe69/11266957/9d8ff7525eef/2153-8174-23-8-267-g1.jpg

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本文引用的文献

1
Left atrial deformation indices in β-thalassemia major patients.β-地中海贫血患者的左心房变形指数。
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An update on the US adult thalassaemia population: a report from the CDC thalassaemia treatment centres.美国成人地中海贫血患者群体的最新动态:来自疾病预防控制中心地中海贫血治疗中心的报告。
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Pathogenesis, Diagnosis, and Clinical Implications of Hereditary Hemochromatosis-The Cardiological Point of View.
遗传性血色素沉着症的发病机制、诊断及临床意义——心脏病学视角
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Myocardial iron overload by cardiovascular magnetic resonance native segmental T1 mapping: a sensitive approach that correlates with cardiac complications.心血管磁共振原生节段 T1 映射显示心肌铁过载:一种与心脏并发症相关的敏感方法。
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PLoS One. 2020 Dec 10;15(12):e0243648. doi: 10.1371/journal.pone.0243648. eCollection 2020.
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Twelve-lead and signal-averaged electrocardiographic parameters among beta-thalassemia major patients.重型β地中海贫血患者的十二导联和信号平均心电图参数。
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The Role of Heart Rate Variability and Fragmented QRS for Determination of Subclinical Cardiac Involvement in Beta-Thalassemia Major.心率变异性和碎裂QRS在确定重型β地中海贫血亚临床心脏受累中的作用
Pulse (Basel). 2020 Aug;8(1-2):15-20. doi: 10.1159/000505556. Epub 2020 Feb 11.
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Assessment of ventricular dysfunction in Egyptian children with Beta-thalassemia major.评估埃及重型β-地中海贫血症儿童的心室功能障碍。
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