Heart failure & cardiomyopathies

Myocardial tissue characterization by segmental T2 mapping in thalassaemia major: detecting inflammation beyond iron

Eur Heart J Cardiovasc ImagingPublished Cross-sectional study

Authors' conclusion

In TM, T2 mapping does not offer any advantage in terms of sensitivity for MIO assessment but detects subclinical myocardial inflammation.

Study context

Population
Thalassaemia major patients enrolled in the Extension-Myocardial Iron Overload in Thalassemia Network102 females
Participants
166 patients
Exposure
Segmental T2 mapping vs T2* for detection of myocardial iron overload
  • Decreased T2n = 11
  • Normal T2n = 74
  • Increased T2n = 81
Outcome
Global heart T2 categories
Methodological detailsmulticentre
  • Multicentre

Main finding

As reported in the abstract

Reduced T2 among patients with decreased global heart T2*
11/25 (44.0%)
Decreased T2 among patients with normal T2*
0

Observational data: associations, not effects.

Further findings

Biventricular function

Comparable amongst the three groups

Late gadolinium enhancement (LGE)

Significantly more frequent with reduced vs increased global heart T2

Hepatic and pancreatic iron deposition

Significantly higher with reduced T2 than in the other two groups

Original publication

Myocardial tissue characterization by segmental T2 mapping in thalassaemia major: detecting inflammation beyond iron. Eur Heart J Cardiovasc Imaging. Published 18 April 2023. doi:10.1093/ehjci/jead068

Composed by AI from the published abstract and checked against it. How Briefs are made →

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