Again, I am skeptical on this result. Your ferritin is greatly lowered and the liver score improved. It makes no sense that the heart would get worse. How do you feel physically? Do you feel tired and weak? Does walking stairs tax you?
Dear Andy,
I found out the answer as to why my Cardiac T2*Score get worsen?
Below is the answer from guideline issued by TIF recently
"Iron overload
In many patients the size and iron load of the spleen approaches that of the liver, highlighting
the importance of the spleen as a major organ of iron storage in TM. Splenectomy causes
major changes in the ferrikinetic profile of iron overload and toxicity in β-ΤΜ patients. Following
splenectomy the total body iron storage capacity is reduced. Iron will be redirected and
accumulated in the liver, heart, and other organs and unless effective chelation protocols are
introduced, the iron concentration in these organs will increase (Aydinok 2011, Aessopos 2005,
Fiorelli 1990)
In a separate study splenectomised patients had a higher incidence of myocardial iron load
(48%) and higher myocardial iron by comparison to non- splenectomised patients (28%) (Aydinok
2011)."
Hope now my T2*Score will improve as the ferritin level comes to normal level