The pregnant woman with thalassaemia
faces possible deleterious consequences in
cardiac function as a result of myocardial
haemosiderosis and changes in the haemodynamic state. Accelerated erythropoiesis
and expansion of the total red cell volume
occur, which consequently increase the
cardiac output. This may well lead to cardiac failure. There were no severe cardiac
complications reported previously, except
for 1 case with early infiltrative cardiomyopathy