Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

The Relationship between Serum Level of Ferritin and Cardiac Troponin T (cTnT) in Children with Major Beta-Thalassemia


Affiliations
1 College of Medicine/Tikrit University/Department of Biochemistry, Iraq
2 Kirkuk Children Hospital, Iraq
     

   Subscribe/Renew Journal


Beta-thalassemia is one of the most common inherited blood disorder result from a defect in production of beta globin chain due to mutations in the HBB gene on chromosome 11, range from minor to sever transfusion dependent major beta-thalassemia. Major beta-thalassemia regarded as one of the major health problems in endemic regions as the Mediterranean basin, part of North and West Africa and South East Asia. Frequent blood transfusions cause progressive iron overload and hemochromatosis in the body which is the major complication of treatment lead to accumulation of iron in many organs and meanly in heart. The aim of the study is to determine the relation between serum ferritin and serum cTnT in children with major beta-thalassemia. A cross sectional study was carried out in Kirkuk City from 16th of January 2018 to 15th of March 2018. A total of 60 children with major Beta thalassemia admitted to thalassemia center in Azadi Teaching Hospital, and 30 non major Beta thalassemia children (control group) their age ranged between 2-10 years old, were investigated for s. cTnT and s. ferritin. There was a highly significant increase in s. ferritin level in children with major beta-thalassemia as compare with control of same age and gender. Also, There was a difference between the level of serum cTnT level in children with major beta thalassemia more than control, but not significant of same age and gender.

Keywords

Cardiac Troponin T(cTnT), Serum Ferritin, Major Beta-Thalassemia.
Subscription Login to verify subscription
User
Notifications
Font Size


  • Galanello, R and Origa, R. 2010. Beta-thalassemia. Orphanet J Rare DIS, 5, pp.11-26.
  • Denise, R.F. 2014. Globular protein. In: Harvey RA. Lippincott’s Illustrated Review: Biochemistry,16, pp 38-39.
  • Vichinsky, E. P. 2005. Changing patterns of thalassemia worldwide. Ann NY Acad Sci, 1054, pp.18-24.
  • Singh, P. 2017. Thyroid profile in multi transfused children of beta thalassemia major and its correlation with serum ferritin levels. International Journal of Current Research in Medical sciences, 3, pp.15.
  • Shekhar, H.U. 2015. Hematological and biochemical status of Beta thalassemia major patients. International Journal of Hematology and Stem Cell Research., 10, pp.8.
  • Crook, M.B. 2012. Cardiovascular disease. In: Taylor and Francis Group. Clinical Biochemistry and Metabolic Medicine, 18, pp.326.
  • Fuzi, A.M. 2013. The relation between ECG changes and troponin test in patients with nonST segment elevation acute coronary syndrome. Academic Scientific Journals, 39, pp.13.
  • Sharma, S and Jackson, P.G. 2004. Cardiac troponin. Journal of Clinical Pathology, 57, pp.1025.
  • Wang, W., Knovich, M.A,. Coffman, L.G,. Torti, F.M and Torti, S.V. 2010. Serum ferritin: past, present and future. Http://www.en.m.wikipedia.org, 2018.
  • Ikram, N., Hassan, K., Younas, M and Amanat, S. 2004. Ferritin level in patients of B-thalassemia major. International Journal of Pathology, 2(2), pp. 4-71.
  • Mannan, A., Kawser, J., Ahmed, A.M., Sikder, O.F., Islam, M.J and Chowdhury, M.A. 2013. A Demographic Approach for Understanding the Prevalence of β Thalassemia Patterns and Other Hemoglobinopathies: Selective Study in Chittagong City Perspective. Asian Journal of Biological Sciences, 6(2), pp. 124-130.
  • Angeloppoulos, N., Goula, A., Rombopoulos, G and et al. 2006. Hypoparathyroidism in transfusion-dependent patients with thalassemia. J Bone Miner Metab,24, pp. 45-138.
  • Wu, K.H., Tsai, F.J and Peng, C.T. 2003. Growth hormone (GH) deficiency in patients with β-thalassemia major and the efficacy of recombinant GH treatment. Annals of Hematology, 82(10), pp. 637-640.
  • Shahramian, I., Razzaghian, M., Ramazani, A.A., Ahmadi, G.A., Noori, N.M and Rezaee, A.R. The Correlation between Troponin and Ferritin Serum Levels in the Patients with Major Beta-Thalassemia. International Cardiovascular Research Journal, 7(2), pp.51-55.
  • Shahramian, I., Noori, N.M., Teimouri, A and Sharafi, E. 2015. The correlation between serum level of leptin and troponin in children with major beta-Thalassemia. Iranian Journal of Pediatric Hematology Oncology,15, pp. 11-17.
  • Atiq, M., Bana, M., Ahmed, U.S, Bano, S., Yousuf, M., Fadoo, Z and et al. 2006. Cardiac disease in beta-thalassaemia major: Is it reversible?. Singapore Med J, 47(8), pp. 6-693.
  • Ahmed, Y and Dallal, B. 2013. Is the total number of blood transfusion in B-thalassemia major patients can be used to assess their serum ferritin level?. Tikrit J of Pharmaceutical Sciences, 9(1), pp. 30-36.
  • Skordis, N., Christou, S., Koliou, M., Pavlides, N and Angastiniotis M. 1998. Fertility in female patients with thalassemia. J Pediatr Endocrinol Metab, 11(3), pp. 43-935.
  • Frecus, C.E. 2010. Beta -thalassemia trait-epidemiological and clinical aspects in children in Constanta County. Ph.D. Thesis. Constanta, Greeks county.
  • Mahmoud, S.M and Aziz, S.B. 2013. Evaluation of Certain Inflammatory Markers in Transfusion Dependent β-Thalassemic Patients. Tikrit J of Pharmaceutical Sciences, 9(1), pp. 30-36.
  • Ivanova, M., Morozova, E., Vasilieva, Y., Rudnitskaya, Y and Nabiev, R. 2009. Iron overload: causes, assessment methods, significance in transplantation setting and therapeutically approaches. Cellu Ther Transplan,1(3), pp. 51-60.
  • Noori, N.M and Mehralizadeh, S. 2010. Echocardiographic evaluation of systolic and diastolic heart function in patients suffering from beta-thalassemia major aged 5-10 years at the Zahedan Research Center for Children and Adolescent Health. Anadolu Kardiyol Derg, 10(2), pp. 3-150.
  • Wood, J.C. 2011. Impact of iron assessment by MRI. Hematology Am Soc Hematol Educ Program, 2, pp. 50-443.
  • Marbut, M.M., AL-Anee, A.H and Mahmood, A.A. 2013. Iron Overload in Beta-thalassemia Major patients and its effect on gonads [ Master thesis]. Collage of medicine: University of Tikri.
  • Marbut, M.M., Najim, R.S and Armeet, H.S. 2014. The effect of Iron Overload on Thyroid gland in Beta- thalassemia Major female patients [ Master thesis]. Collage of medicine: University of Tikrit.
  • Hashemi, A.M., Ghilian, R., Golestan, M., Akhavan, G.M., Zare, Z and Dehghani, M.A.2010. The Study of Growth in Thalassemic Patients and its Correlation with Serum Ferritin Level. Iranian J of Pediatric Hematology Oncology, 14, pp. 147-151.

Abstract Views: 196

PDF Views: 0




  • The Relationship between Serum Level of Ferritin and Cardiac Troponin T (cTnT) in Children with Major Beta-Thalassemia

Abstract Views: 196  |  PDF Views: 0

Authors

A. Mutaz Sabah
College of Medicine/Tikrit University/Department of Biochemistry, Iraq
K. Khdhair Abbas
College of Medicine/Tikrit University/Department of Biochemistry, Iraq
Shaymaa Mohammed Salih
Kirkuk Children Hospital, Iraq

Abstract


Beta-thalassemia is one of the most common inherited blood disorder result from a defect in production of beta globin chain due to mutations in the HBB gene on chromosome 11, range from minor to sever transfusion dependent major beta-thalassemia. Major beta-thalassemia regarded as one of the major health problems in endemic regions as the Mediterranean basin, part of North and West Africa and South East Asia. Frequent blood transfusions cause progressive iron overload and hemochromatosis in the body which is the major complication of treatment lead to accumulation of iron in many organs and meanly in heart. The aim of the study is to determine the relation between serum ferritin and serum cTnT in children with major beta-thalassemia. A cross sectional study was carried out in Kirkuk City from 16th of January 2018 to 15th of March 2018. A total of 60 children with major Beta thalassemia admitted to thalassemia center in Azadi Teaching Hospital, and 30 non major Beta thalassemia children (control group) their age ranged between 2-10 years old, were investigated for s. cTnT and s. ferritin. There was a highly significant increase in s. ferritin level in children with major beta-thalassemia as compare with control of same age and gender. Also, There was a difference between the level of serum cTnT level in children with major beta thalassemia more than control, but not significant of same age and gender.

Keywords


Cardiac Troponin T(cTnT), Serum Ferritin, Major Beta-Thalassemia.

References