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Abstract #2630

THE LEFT VENTRICULAR GLOBAL FUNCTION INDEX BY CARDIAC MAGNETIC RESONANCE IS MORE STRONGLY NEGATIVELY AFFECTED BY MYOCARDIAL IRON OVERLOAD THAN THE GLOBAL SYSTOLIC FUNCTION

Antonella Meloni 1 , Vincenzo Positano 1 , Antonino Vallone 2 , Paolo Preziosi 3 , Maria Chiara Resta 4 , Gennaro Restaino 5 , Maria Giovanna Neri 1 , Roberta Renni 6 , Monica Benni 7 , Petra Keilberg 1 , Cristina Salvatori 8 , and Alessia Pepe 1

1 CMR Unit, Fondazione G. Monasterio CNR-Regione Toscana, Pisa, Italy, 2 Istituto di Radiologia, Az. Osp. "Garibaldi" Presidio Ospedaliero Nesima, Catania, Italy, 3 U.O.C. Diagnostica per Immagini e Interventistica, Policlinico Casilino", Roma, Italy, 4 Struttura Complessa di Radiologia, OSP. SS. Annunziata ASL Taranto, Taranto, Italy, 5 Dipartimento di Radiologia, Universit Cattolica del Sacro Cuore, Campobasso, Italy, 6 Day Hospital, Ospedale Civile F. Ferrari, Casarano (LE), Italy, 7 Servizio di Immunoematologia e Centro Trasfusionale, Policlinico S. Orsola "L. e A. Seragnoli", Bologna, Italy, 8 Unit Operativa Sistemi Informatici, Fondazione G. Monasterio CNR-Regione Toscana, Pisa, Italy

The left ventricular global function index (LVGFI) is a functional parameter integrating structural as well as mechanical behaviour. In the MESA study a LVGFI <37% was shown to be strongly predictive of cardiovascular events. In the present study, involving patients with thalassemia major, we found out that different patterns of myocardial iron overload evaluated by the T2* multislice technique were more strongly associated with a LVGFI <37% than with a LV dysfunction. Thus, a LVGFI<37% could better identify a significant higher risk of adverse cardiovascular events beyond heart failure in iron loaded patients.

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