Search results for "Myocardial iron overload"

showing 3 items of 3 documents

Different patterns of myocardial iron distribution by whole-heart T2* magnetic resonance as risk markers for heart complications in thalassemia major.

2014

Background The multislice multiecho T2* cardiovascular magnetic resonance (CMR) technique allows to detect different patterns of myocardial iron overload (MIO). The aim of this cross-sectional study was to verify the association between cardiac complications (heart failure and arrhythmias), biventricular dysfunction and myocardial fibrosis with different patterns of MIO in thalassemia major (TM) patients. Methods We considered 812 TM patients enrolled in the Myocardial Iron Overload in Thalassemia (MIOT) Network. The T2* value in all the 16 cardiac segments was evaluated. Results We identified 4 groups of patients: 138 with homogeneous MIO (all segments with T2* < 20 ms), 97 with heterogene…

AdultMalemedicine.medical_specialtyHeart DiseasesThalassemiaIronMyocardial ironMagnetic Resonance Imaging CineMyocardial iron overloadYoung AdultRisk FactorsInternal medicineMedicineDistribution (pharmacology)HumansMultisliceChelation therapyCardiac complicationThalassemia majormedicine.diagnostic_testbusiness.industryMyocardiumbeta-ThalassemiaMagnetic resonance imagingmedicine.diseaseCross-Sectional StudiesHeart failureCardiologyMyocardial fibrosisCardiovascular magnetic resonanceFemaleCardiology and Cardiovascular MedicinebusinessInternational journal of cardiology
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Preferential patterns of myocardial iron overload by multislice multiecho T2* CMR in thalassemia major patients.

2010

T*(2) multislice multiecho cardiac MR allows quantification of the segmental distribution of myocardial iron overload. This study aimed to determine if there were preferential patterns of myocardial iron overload in thalassemia major. Five hundred twenty-three thalassemia major patients underwent cardiac MR. Three short-axis views of the left ventricle were acquired and analyzed using a 16-segment standardized model. The T*(2) value on each segment was calculated, as well as the global value. Four main circumferential regions (anterior, septal, inferior, and lateral) were defined. Significant segmental variability was found in the 229 patients with significant myocardial iron overload (glob…

AdultMalepreferential patternIron OverloadAdolescentmyocardial iron overloadThalassemiamultislice multiecho T*2Myocardial ironcardiovascular magnetic resonanceBasal (phylogenetics)HumansMedicineRadiology Nuclear Medicine and imagingMultisliceChelation therapyChildHemochromatosisRetrospective Studiesmedicine.diagnostic_testbusiness.industryMyocardiumbeta-ThalassemiaHeartMagnetic resonance imagingMiddle Agedmedicine.diseaseMagnetic Resonance ImagingRadiographymedicine.anatomical_structureVentriclethalassemia majorFemalebusinessNuclear medicine
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Improvement of heart iron with preserved patterns of iron store by CMR-guided chelation therapy

2014

[Formula: see text] multislice multiecho cardiac magnetic resonance (CMR) allows quantification of the segmental distribution of myocardial iron overload (MIO). We evaluated whether a preferential pattern MIO was preserved between two CMR scans in regularly chelated thalassaemia major (TM) patients.We evaluated prospectively 259 TM patients enrolled in the MIO in Thalassaemia (MIOT) network with a CMR follow-up (FU) study at 18 ± 3 months and significant MIO at baseline. The [Formula: see text] in the 16 segments and the global value were calculated. Four main circumferential regions (anterior, septal, inferior and lateral) were defined. We identified two groups: severe (n = 80, global [For…

AdultMalemedicine.medical_specialtyIron OverloadHeart DiseasesCardiac magnetic resonanceMagnetic Resonance Imaging CineMyocardial ironRisk AssessmentIron storeAnterior regionCohort StudiesMyocardial iron overloadInternal medicinemedicineHumansRadiology Nuclear Medicine and imagingMultisliceProspective StudiesChelation therapyThalassaemia majorbusiness.industryPreferential patternbeta-ThalassemiaThalassaemia majorGeneral MedicineMiddle AgedChelation TherapySurgeryTreatment OutcomeCardiologyFemaleCardiology and Cardiovascular MedicinebusinessCardiac magnetic resonanceFollow-Up StudiesEuropean Heart Journal – Cardiovascular Imaging
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