Thalassemia patients Thalassemia pulmonary arterial hypertension blood transfusion
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Thalassemia intermedia: E/β-thalassaemia Pulmonary arterial hypertension (PAP > 35 mmHg by ECHO) Hemoglobin level 6.0 – 9.9 g/dl. Serum ferritin level less than 2,000 ug/dl. Capable of follow up and Informed concent
Exclusion criteria
Exclusion criteria: clinical evidence of other secondary causes of pulmonary arterial hypertension, eg. HIV infection, collagen vascular diseases, chronic obstructive airway disease, acquired heart disease associated with pulmonary venous hypertension eg. mitral valve disease, congenital heart disease and hyperthyroidism. - Poor compliance of chelation therapy. - The patients who had alloantibody to red blood cells.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pulmonary artery pressure difference (PASP) initial, 6 months, 12 months Echocardiography: The differences of PASP between before and the end of study | — |
Secondary
| Measure | Time frame |
|---|---|
| Six minutes walk test (6MWT) differences initial, 6 months, 12 months Six minutes walk test (6MWT) | — |
Countries
Thailand
Contacts
Faculty of Medicine, CMU