E.V. FEOKTISTOVA, N.S. SMETANINA, V.M. DELYAGIN, M.M. DUBROVIN
Federal Research and Clinical Centre of Pediatric Hematology, Oncology and Immunology hamed after D. Rogachev of the Ministry of Health of Russian Federation, Moscow

Delyagin Vasiliy Mikhaylovich
Doctor of Medical Science, Professor, Head of the Department of Clinical Physiology, Head of the Department of functional diagnostics of the Federal State Budgetary Institution Federal Research and Clinical Centre of Children Hematology, Oncology and Immunology
1 Samory Mashela Str., Moscow 117997
tel. (495) 287-65-70, е-mail: [email protected]

Literature and proprietary data on changes in heart condition after iron overload syndrome are given. In late stages an increase in size of cardiac chambers is traced. The earliest symptom was the increase in rigidity of myocardium (restriction): lengthening the duration of rapid filling phase and inhibition of blood flow.

Key words: cardiomyopathy, iron overload, restriction.

 

REFERENCES

1. Rumjancev A.G., Tokarev Ju.N. (red.) Bolezni peregruzki zhelezom (gemohromatozy): rukovodstvo dlja vrachej / M.: Medpraktika-M, 2004. — 328 s.

2. Asanov A.Ju. Populjacionnaja dinamika i genogeografija beta-talassemii v respublikah byvshego SSSR: avtoref. dis. … d-ra med. nauk. — Moskva, 1997. — 41 s.

3. Rund D., Rachmilewitz E. ß-Thalassemia // New Engl. J. Med., 2005. — Vol. 353. — P. 1135-1146.

4. Hahalis G., Alexopulos D., Kremastinos D., Zoumbos N. Heart failure in beta-thalassmia syndromes: a decade of progress // Am. J. Med., 2005. — Vol. 118. — P. 957-967.

5. Fabio G., Minonzio F., Delbini P. et al. Reversal of cardiac complications by deferiprone and deferoxamine combination therapy in a patient affected by a severe type of juvenile hemochromatosis (JH) // Blood, 2007. — Vol. 109. — P. 362-364.

6. Pradeep G., Douglas R., Tripodi D., Shizukuda Y. Iron overload cardiomyopathy, better understanding of an increasing disorder // Journal of the American College of Cardiology, 2010. — Vol. 56. — P. 1001-1012.

7. Silvilairat S., Sittiwanghul R., Pongprot Y., Charoenkvan P. et al. Tissue Doppler echocardiography reliably reflects severity of iron overload in pediatric patients with ß-thalassemia // European Journal of Echocardiography, 2008. — Vol. 9. — P. 368-372.