Atrial Fibrillation, Thalassemia
Conditions
Keywords
Atrial Fibrillation, Thalassemia, Thalassaemia, Arrhythmia, Hemoglobinopathies
Brief summary
The study aims to evaluate the clinical, laboratory and instrumental differences that exist between beta-thalassemia patients with atrial fibrillation and those not affected by arrhythmia.
Detailed description
Observational, retrospective and prospective, single-center study, which involves the collection of clinical, laboratory, electrocardiographic and imaging data of patients with major or intermediate thalassemia who have performed, from 2012 to 2022, or will perform in the next 10 years, a cardiological evaluation at the Cardiology Unit of the University Hospital of Ferrara. Patients will be divided into two groups: thalassemia patients with atrial fibrillation (paroxysmal, persistent or permanent) and thalassemia patients with no history of atrial fibrillation. The objective of the study is to evaluate whether there is a different prevalence of the characteristics analyzed among these patient populations. As secondary outcome, the effect of SGLT2-inhibitors (empaglifozin, dapaglifozin, ...) will be evaluated.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. Transfusion-dependent Beta-thalassemia; 2. Follow-Up at the Cardiology Unit of the University Hospital of Ferrara; 3. Electrocardiogram performed; 4. Echocardiogram performed.
Exclusion criteria
1. Age \<18 years; 2. State Of pregnancy; 3. Inability to give informed consent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Atrial fibrillation | 10 years | New onset of Atrial Fibrillation documented at ECG |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Thromboembolism | 10 years | Stroke or peripheral embolization |
| Epicardial adipose tissue | Baseline | Thickness of fat depot in epicardial region |
| SGLT2 effect on Hb | 6 months | rise in hemoblogin levels |
| Atrial fibrillation recurrences | 10 years | Recurrences of AF during follow-up |
Countries
Italy