Abstract

*Dr. Deepa Sivaraj, Dr. Saraswathy L., Dr. Suja Gopalakrishnan, Renjitha Bhaskaran

ABSTRACT

Background: Anemia is a significant medical problem involving multiple organ systems in addition to its economic and social implications. Appropriate treatment of anemia at the right time can prevent complications. Aims and Objectives: This study was designed to assess the cardiac function using ECG and echocardiographic parameters in anemic patients with hemoglobin less than 9gm/dl. Materials and Methods: A cross-sectional study was conducted in the department of Physiology and Cardiology, in a tertiary care hospital. 80 patients in the age group 18-60 years from various clinical departments whose Hb level were found to be < 9 gm/ dl were included in the study. All cases underwent 12 lead ECG and 2D echocardiography studies and statistical analysis was performed. Results: A total of 80 patients with anaemia (Hb<9 gm/dl) were enrolled in the study. 60% cases had moderate anemia, indicated as hemoglobin between 7- 9 gm/dl and 40% had severe anemia indicated as hemoglobin below 7.0 gm/dl. There were ST depression in 14 cases(17.5%), T wave inversion in 19 cases(23.75%), T wave flattening in 34 cases (42.5%) in the ECG. Majority of cases of severe anemia were associated with ECG changes. There were statistically significant association with severity of anemia and abnormality in ECHO parameters like LAD, LVIDd, PWT, Mean peak E velocity and A velocity. Conclusion: Our study helps in making necessary plan to diagnose cardiovascular complications of anemia with the help of ECG and ECHO that helps in treatment planning.