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July 5, 2026

Treating pediatric iron deficiency anemia improves biventricular strain and Doppler parameters, though subtle alterations persist.

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Why the study?

Does treatment of iron deficiency anemia improve subclinical biventricular dysfunction in children?

Population

69 children (40 with predominantly mild-to-moderate iron deficiency anemia and 29 healthy controls)

Comparison

Anemia treatment vs Pre-treatment baseline and healthy controls

Design

Case-control

Key result

Treatment of iron deficiency anemia in children improved left and right ventricular longitudinal strain and tissue Doppler parameters, though some subtle myocardial alterations persisted.

Authors

BZBetül Pehlivan ZorluİÇİbrahim İlker ÇetinEAEmine Azak

Discussion

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Overview

Persistent subtle biventricular changes may remain after iron repletion in children; leaves open whether long-term surveillance improves outcomes.

Key Points

  • This study aims to evaluate biventricular function in children with iron deficiency anemia using advanced echocardiographic techniques.
  • Prospective case-control study design
  • Included 40 children with iron deficiency anemia and 29 healthy controls
  • Used tissue doppler imaging and speckle-tracking echocardiography for assessment.
  • Improvement in left and right ventricular longitudinal strain values following treatment.
  • Tissue Doppler parameters showed enhanced systolic and diastolic function post-treatment.
  • Some echocardiographic parameters did not fully normalize, indicating persistence of subtle myocardial changes.

Study Design

Type

Case-Control (n=69)

Structured PICO

Does treatment of iron deficiency anemia improve subclinical biventricular dysfunction in children?

P
Population
69 children (40 with iron deficiency anemia and 29 healthy controls) evaluated for biventricular function, with 24 patients re-evaluated after treatment.
E
Exposure
Anemia treatment
C
Comparator
Pre-treatment baseline and healthy controls
O
Outcome
Biventricular function assessed by tissue Doppler imaging and two-dimensional speckle-tracking echocardiography (including longitudinal strain, strain rate, and myocardial velocities)surrogate

Treatment of iron deficiency anemia in children improves subclinical biventricular dysfunction as assessed by advanced echocardiography, though some subtle alterations may persist.

Limitations

  • relatively small sample size
  • predominance of mild-to-moderate anemia in the study population

Cite This Study

Zorlu et al. (2026) conducted a case-control in iron deficiency anemia (n=69). Iron deficiency anemia vs. Healthy controls was evaluated on biventricular function assessed by two-dimensional speckle-tracking echocardiography and tissue Doppler imaging. Treatment of iron deficiency anemia in children improved left and right ventricular longitudinal strain and tissue Doppler parameters, though some subtle myocardial alterations persisted.

synapsesocial.com/papers/6a49f68df5d1d45b28800e07https://doi.org/10.5543/tkda.2026.21477
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