Beta Thalassemia With Increased Tricuspid Regurgitant Jet Velocity
Conditions
Brief summary
This study aims to investigate the possible efficacy and safety of L\_Carnitine and Sildenafil on patient with Beta thalassemia complicated with increased Tricuspid Regurgitant Jet Velocity
Interventions
l-carnitine stabilizes red blood cell membranes and thus improves the anemic state\[
selective and potent inhibitor of cGMP-specific phosphodiesterase 5 (PDE5), which promotes smooth muscle relaxation in lung vasculature, has been used successfully in the treatment of primary and secondary PH.
Sponsors
Study design
Eligibility
Inclusion criteria
* Children with Beta thalassemia major who have increased TRJV more than 2.5m/s. * Children age from 6-18 years
Exclusion criteria
* Others hemolytic anemia * Young age before 6 years of age * Allergy to Sildenafil or L-carnitine * Patient with documented causes of pulmonary hypertension rather than caused by Beta thalassemia. * Hepatic dysfunction: serum Alanine Aminotransferase (ALT) 3X. * Renal dysfunction: Creatinine level greater than or equal to 1.2 mg/dl.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cardiopulmonary functions | 3 months | change in the studied cardiopulmonary functions at the baseline and 3 months after intervention |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Biochemical parameters | 3 months | Changes in Vascular Endothelial Growth Factor level (VEGF) at baseline and 3 months after the intervention |
Countries
Egypt