| Literatürler Hematoloji Uzmanlık Derneği
Literatür Detay Bilgisi
Cardiac iron overload in transfusion-dependent patients with myelodysplastic syndromes

Yazarlar : Roy NB, Myerson S, Schuh AH, Bignell P, Patel R, Wainscoat JS, McGowan S, Marchi E, Atoyebi W, Littlewood T, Chacko J, Vyas P, Killick SB.

Yayın : Br J Haematol.

Yayın Yılı : 2011

Pubmed Linki : http://www.ncbi.nlm.nih.gov/pubmed/21689086

Konu : MDS

Literatür İçeriği :  

Abstract

Transfusion-dependent myelodysplastic (MDS) patients are prone to iron overload. We evaluated 43 transfused MDS patients with T2* magnetic resonance imaging scans. 81% had liver and 16·8% cardiac iron overload. Liver R2* (1000/T2*), but not cardiac R2*, was correlated with number of units transfused (r = 0·72, P < 0·0001) and ferritin (r = 0·53, P < 0·0001). The area under the curve of a time-ferritin plot was found to be much greater in patients with cardiac iron loading (median 53·7 × 10(5) Megaunits vs. 12·2 × 10(5) Megaunits, P = 0·002). HFE, HFE2, HAMP or SLC40A1 genotypes were not predictors of iron overload in these patients.


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