English

Abstract

BACKGROUND AND OBJECTIVES: In the last decade, anemia is recognized as an important cause of morbidity, a factor limiting physical activity, responsible for a poor quality of life, and a predictor of unfavorable outcomes. Anemia is emerging as a potential contributor to the development and progression of cardiovascular disease. Hence the present study was undertaken to correlate echocardiographic changes with anemic status. METHODOLOGY: Present study was conducted in Al-Ameen Medical College and Government district Hospital, Bijapur. 31 anemic patients (aged 18-40 yrs.) with Hb ≤7 gm. % were selected. All anemic patients were subjected for hemoglobin estimation and M mode 2D Echocardiography. Echocardiographic parametersIVSTd, LVIDd, LVPWd, IVSTs, LVIDs, LVPWS, EDV, ESV, SV, SI, CI, EF, FS were studied and correlated with hemoglobin levels. Statistical analysis was done by correlation analysis. RESULTS: LVPWd, IVSTs, IVStd, LVPWs did not correlate with hemoglobin levels. LVIDd, LVIDs, EDV, ESV, SV, SI, CI were negatively correlated with hemoglobin levels in anemic patients. No correlation observed for EF, FS. INTERPRETATION AND CONCLUSION: The findings of negative correlation of echo parameters with anemic status may be as a consequence of hyperdynamic circulatory state leading to vascular and cardiac changes. These changes are mainly due to increased preload, decreased afterload, changes in cardiac geometry. These factors increase systolic wall stress and over time lead to LV systolic dysfunction.