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Table 1 Demographic, clinical and MRI data of the 4 patients with global heart T2* < 20 ms.

From: Myocardial iron overload in thalassemia major. How early to check?

Parameter

Patient 1

Patient 2

Patient 3

Patient 4

Age (yrs)

9.5

6.8

8.8

7.9

Sex

M

F

M

M

Transfusions starting age (months)

12

7

12

12

Mean Hb pre-transfusion (g/dl)

9.0

9.7

9.8

9.6

Mean serum ferritin in the previous year (ng/ml)

4500

2488

2579

2359

Transfused iron (g)

32

14

23

27

Chelation starting age (months)

16

30

24

36

Chelation treatment at the time of MRI

Deferoxamine

Deferasirox

Deferasirox

Deferoxamine

Compliance

good

dubious

excellent

excellent

Previous chelation therapy

None

Deferoxamine

Deferoxamine

-Deferoxamine

-Deferasirox

Global heart T2*/Mid ventricular septum T2* (ms)

11.2/15

13/13

16.2/18

18.9/24.5

MRI CIC (mg/g dry weight)

2.35

1.97

1.51

1.25

N. of pathological segments

16

16

12

9

Pattern of MIO

Homogenous

Homogenous

Heterogeneous

Heterogeneous

MRI LIC (mg/g dry weight)

21.4

23.3

9.6

15.1

LV EF (%)

61

NE

63

59

RV EF (%)

63

NE

64

56

  1. M = male, F = female; MRI = Magnetic Resonance Imaging; CIC = cardiac iron concentration; MIO = myocardial iron overload; LIC = liver iron concentration; LV = left ventricular; EF = ejection fraction; RV = right ventricular; NE = not evaluated.