use of doppler - echocardiogiography for the assessment of cardiac functions in children with Iron deficiency anaemia

ABSTRACT

This study included 30 patients [17 males and 13 females, with an age range from 1 to 12 years with a mean of 5.75 +/- 3.43 years] of those attending pediatric clinic. Detailed retrospective clinical history, complete clinical examination, stool analysis, CBC, hemoglobin concentration, hematocrit value, mean corpuscular volume and mean corpuscular hemoglobin concentration together with the estimation of serum iron and total iron binding capacity [TIBC] were done. Echo-Doppler examination to estimate left ventricular dimensions, septal and posterior wall thickness, ejection fraction and fractional shortening, diastolic ventricular function estimation by mitral valve diastolic flow study were also carried out. It was concluded that iron deficiency anemia leads to a hyperdynamic circulating state with significant left ventricular diastolic dysfunction