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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2003-3-19
pubmed:abstractText
Few studies are available on left ventricular diastolic function in beta-thalassemia major, and these have conflicting results. Our aim in this study was to analyze myocardial systolic and diastolic functions in patients with beta-thalassemia major using, for the first time, pulsed Doppler tissue imaging (DTI), and compare data with standard Doppler echocardiography. We studied 30 young patients with beta-thalassemia major (age </=16 years) with normal left ventricular systolic function and in 30 age and sex-matched controls using pulsed DTI, and compared the data with standard data obtained with Doppler echocardiography. In the beta-thalassemia major group before transfusion, early (E) and late (A) peak diastolic flow velocities were increased when compared with controls ( P = 0.0032 and P = 0.0039, respectively). The E/A ratio did not differ between the groups. All DTI parameters in the patients were similar to those of controls, except for lateral annulus ejection time adjusted for heart rate, that was significantly reduced when compared with healthy subjects ( P < 0.01). Multivariate analysis showed that ejection time adjusted for heart rate, has a significant relation with only E peak velocity ( P < 0.01) and left atrial size ( P < 0.01), two volume-dependent parameters. Our study shows that pulsed DTI parameters and standard Doppler left ventricular filling pattern in young beta-thalassemia major patients with normal left ventricular systolic function are similar to those seen in conditions of increased preload.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
0910-8327
pubmed:author
pubmed:issnType
Print
pubmed:volume
18
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1-6
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed:year
2003
pubmed:articleTitle
Pulsed Doppler tissue imaging and myocardial function in thalassemia major.
pubmed:affiliation
Medicial Surgical Department of Cardiologic, Thoracic and Respiratory Science, Second University of Naples, Naples, Italy.
pubmed:publicationType
Journal Article