This is an outdated version published on 2023-07-01. Read the most recent version.

Assessment of echocardiographic variables in severe anemic patients

Authors

DOI:

https://doi.org/10.3126/ajms.v14i7.52740

Keywords:

Anemia; Cardiac functions; Echocardiography; Global longitudinal strain score; Left ventricular dysfunction; 2D strain imaging

Abstract

Background: Detection of left ventricular (LV) dysfunction in anemic patients using 2D strain echocardiography has been investigated inadequately.

Aims and Objectives: This study was designed to compare the echocardiographic characteristics in patients with severe anemia to those without anemia using a 2D strain pattern.

Materials and Methods: A cross-sectional study was conducted between April 2021 and March 2022. A total of 100 patients were incorporated in the case group, where patients with hemoglobin levels <7 g/dL, aged between 18 and 60 years, were included, whereas 100 patients with normal hemoglobin levels were included in the control group. Baseline clinical characteristics and echocardiographic parameters were studied.

Results: The mean age of the case group was 38.32±14.9 years and of the control group was 39.94±14.3 years. In each group, majority of the patients were females (55%) and were from rural area. Mean hemoglobin level was 4.81±1.42 g/dL in case group and 12.41±0.9 g/dL in control group (P=0.0024). Mean peak E velocity (P=0.0002), mean peak A velocity (P<0.0001) and mean isovolumetric relaxation time (P=0.4612) represented statistically significant differences among case and control groups. The ejection fraction was 58% in the case and 56% in control group (P=0.621). Stroke volume was 58 mL in the case and 52 mL in the control group (P=0.653). LV dysfunction represented a significant difference between case and control group (Chi=28.125; P=0.0001). Furthermore, a statistically significant difference was observed between the global longitudinal strain score of the case and the control group (P=0.0015).

Conclusion: Using 2D strain imaging technique, LV dysfunction was detected in severely anemic patients who had no previously detected severe cardiovascular diseases.

Downloads

Download data is not yet available.
Abstract
63
PDF
27

Downloads

Published

2023-07-01

Versions

How to Cite

Goyal, S., Gupta, H., Ravi Prakash Pandey, & Tripathi VD. (2023). Assessment of echocardiographic variables in severe anemic patients. Asian Journal of Medical Sciences, 14(7), 234–239. https://doi.org/10.3126/ajms.v14i7.52740

Issue

Section

Original Articles