The recent report on “risk of coronary artery disease in transfusion-naïve thalassemia
populations [
[1]
]” is very interesting. In fact, thalassemia is a common congenital inherited hemoglobin
disorder that is common in several parts of the world. Anemia is a common finding.
As noted by Chen et al., increase risk of heart disease can be seen in case with thalassemia
[
[1]
]. Additional concern should be mentioned in thalassemic case that already gets the
acute coronary syndrome. Anemia in acute coronary syndrome needs comprehensive care.
Foussas noted that transfusion for correction of anemia in case with acute coronary
syndrome should not be done due to the risk [
[2]
]. However, in case of transfusion dependent thalassemic patient, the management of
the case can be more difficult. Balancing between the requirement of blood transfusion
due to anemic problem and risk of volumetric insult during acute coronary attack is
very important. To manage those cases, multidisciplinary medical team approach is
needed.To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to European Journal of Internal MedicineAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Risk of coronary artery disease in transfusion-naïve thalassemia populations: a nationwide population-based retrospective cohort study.Eur J Intern Med. 2015 May; 26: 250-254
- Acute coronary syndromes and anaemia.Hellenic J Cardiol. 2015 Sep-Oct; 56: 447-448
Article info
Publication history
Published online: November 30, 2015
Accepted:
November 13,
2015
Received:
November 10,
2015
Identification
Copyright
© 2015 European Federation of Internal Medicine. Published by Elsevier Inc. All rights reserved.
