Cardiac injury caused by iron overload in thalassemia

Cardiac iron overload affects approximately 25% of patients with β-thalassemia major, which is associated with increased morbidity and mortality. Two mechanisms are responsible for iron overload in β-thalassemia: increased iron absorption due to ineffective erythropoiesis and blood transfusions. Thi...

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Main Authors: Chunxi Fu, Xue Yang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Pediatrics
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Online Access:https://www.frontiersin.org/articles/10.3389/fped.2025.1514722/full
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author Chunxi Fu
Chunxi Fu
Xue Yang
Xue Yang
author_facet Chunxi Fu
Chunxi Fu
Xue Yang
Xue Yang
author_sort Chunxi Fu
collection DOAJ
description Cardiac iron overload affects approximately 25% of patients with β-thalassemia major, which is associated with increased morbidity and mortality. Two mechanisms are responsible for iron overload in β-thalassemia: increased iron absorption due to ineffective erythropoiesis and blood transfusions. This review examines the mechanisms of myocardial injury caused by cardiac iron overload and role of various clinical examination techniques in assessing cardiac iron burden and functional impairment. Early identification and intervention for cardiac injury and iron overload in β-thalassemia have the potential to prevent and reverse or delay its progression in the early stages, playing a crucial role in its prognosis.
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spelling doaj-art-248233e51c0f40b68bd17f38d70e099d2025-01-27T06:40:23ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602025-01-011310.3389/fped.2025.15147221514722Cardiac injury caused by iron overload in thalassemiaChunxi Fu0Chunxi Fu1Xue Yang2Xue Yang3Department of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, ChinaKey Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, Sichuan University, Chengdu, ChinaDepartment of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, ChinaKey Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, Sichuan University, Chengdu, ChinaCardiac iron overload affects approximately 25% of patients with β-thalassemia major, which is associated with increased morbidity and mortality. Two mechanisms are responsible for iron overload in β-thalassemia: increased iron absorption due to ineffective erythropoiesis and blood transfusions. This review examines the mechanisms of myocardial injury caused by cardiac iron overload and role of various clinical examination techniques in assessing cardiac iron burden and functional impairment. Early identification and intervention for cardiac injury and iron overload in β-thalassemia have the potential to prevent and reverse or delay its progression in the early stages, playing a crucial role in its prognosis.https://www.frontiersin.org/articles/10.3389/fped.2025.1514722/fullβ-thalassemiairon overloadmyocardial injurytreatmentearly identification
spellingShingle Chunxi Fu
Chunxi Fu
Xue Yang
Xue Yang
Cardiac injury caused by iron overload in thalassemia
Frontiers in Pediatrics
β-thalassemia
iron overload
myocardial injury
treatment
early identification
title Cardiac injury caused by iron overload in thalassemia
title_full Cardiac injury caused by iron overload in thalassemia
title_fullStr Cardiac injury caused by iron overload in thalassemia
title_full_unstemmed Cardiac injury caused by iron overload in thalassemia
title_short Cardiac injury caused by iron overload in thalassemia
title_sort cardiac injury caused by iron overload in thalassemia
topic β-thalassemia
iron overload
myocardial injury
treatment
early identification
url https://www.frontiersin.org/articles/10.3389/fped.2025.1514722/full
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AT xueyang cardiacinjurycausedbyironoverloadinthalassemia