The Correlation between Troponin and Ferritin Serum Levels in the Patients with Major Beta-Thalassemia.

作者: Iraj Shahramian , Motahhare Razzaghian , Abbas Ali Ramazani , Ghasem Ali Ahmadi , Noor Mohammad Noori

DOI:

关键词:

摘要: Background: Thalassemia is a hereditary hemoglobinopathy whose most common complication cardiac involvement which ends up in these patients’ death. Since troponin sensitive and specific marker for the detection of microinfarct, we studied relationship between ferritin serum levels early diagnosis patients. Materials Methods: This case-control study was performed on 80 patients, including 40 patients with major thalassemia normal echocardiography healthy volunteers ranging from 6 months to 16 years old. All children were examined eligible who not infected known heart disease, iron deficiency anemia, kidney diabetes, fever, systemic diseases enrolled into after obtaining written informed consents their parents. At 8:00 A.M. before breakfast, 5cc blood drawn children. After collecting samples, evaluated using ELISA electrokymonolonsense methods, respectively. The gathered data analyzed through SPSS statistical software (v. 20) T-test. Besides, P value<0.05 considered as statistically significant. Results: results revealed significant difference two groups regarding mean (P=0.045) (P=0.001). In this study, no correlation observed age BMI groups. Also, found level sex (P=0.264). Conclusions: increases independent ferritin; therefore, it can be used determine sub-clinical effects.

参考文章(27)
Anil K. Saraya, Rajive Kumar, Ved P. Choudhry, Subramaniam Kailash, Ashok K. Sehgal, A study of serum ferritin in beta thalassemia. Iron deficiency and overload. American Journal of Clinical Pathology. ,vol. 84, pp. 103- 107 ,(1985) , 10.1093/AJCP/84.1.103
Pradeep Gujja, Douglas R. Rosing, Dorothy J. Tripodi, Yukitaka Shizukuda, Iron Overload Cardiomyopathy, Better Understanding of An Increasing Disorder Journal of the American College of Cardiology. ,vol. 56, pp. 1001- 1012 ,(2010) , 10.1016/J.JACC.2010.03.083
Z. Fadoo, M. Khurshid, U. S. Ahmed, M. Yousuf, S. Bano, M. Bana, Mehnaz Atiq, Cardiac disease in beta-thalassaemia major: Is it reversible? Singapore Medical Journal. ,vol. 47, pp. 693- 696 ,(2006)
Effrosini Economou-Petersen, Athanassios Aessopos, Athina Kladi, Panagiota Flevari, Fotis Karabatsos, Christina Fragodimitri, Peter Nicolaidis, Helen Vrettou, Dimitris Vassilopoulos, Markissia Karagiorga-Lagana, Dimitrios Th. Kremastinos, Michael B. Petersen, Apolipoprotein E 4 Allele as a Genetic Risk Factor for Left Ventricular Failure in Homozygous β-Thalassemia Blood. ,vol. 92, pp. 3455- 3459 ,(1998) , 10.1182/BLOOD.V92.9.3455
Zvi G. Fridlender, Deborah Rund, Myocardial infarction in a patient with β‐thalassemia major: First report American Journal of Hematology. ,vol. 75, pp. 52- 55 ,(2004) , 10.1002/AJH.10454
Noormohammad Noori, Maziar Mahjoubifard, Mehdi Mohamadi, Yalda Mirmesdagh, Kambiz Keshavarz, Seyed Mostafa Alavi, Comparison of right and left side heart functions in patients with thalassemia major, patients with thalassemia intermedia, and control group. The Journal of Tehran University Heart Center. ,vol. 8, pp. 35- 41 ,(2013)
Simon J Clark, Michael Eisenhut, Dorothea Sidaras, Stephen W Hancock, Paul Newland, Kent Thorburn, Myocardial injury in infants ventilated on the paediatric intensive care unit: a case control study Critical Care. ,vol. 10, pp. 1- 6 ,(2006) , 10.1186/CC5040
Steven E Lipshultz, Nader Rifai, Stephen E Sallan, Stuart R Lipsitz, Virginia Dalton, David B Sacks, Michael E Ottlinger, None, Predictive Value of Cardiac Troponin T in Pediatric Patients at Risk for Myocardial Injury Circulation. ,vol. 96, pp. 2641- 2648 ,(1997) , 10.1161/01.CIR.96.8.2641
John C. Wood, J. Michael Tyszka, Susan Carson, Marvin D. Nelson, Thomas D. Coates, Myocardial iron loading in transfusion-dependent thalassemia and sickle cell disease. Blood. ,vol. 103, pp. 1934- 1936 ,(2004) , 10.1182/BLOOD-2003-06-1919