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Among other conditions, uncorrected cyanotic congenital heart lesions may potentially have adverse effects on iron balance (1). These cardiac lesions keep the body in a state of constant hypoxia (2). Unabated hypoxias and attendant secondary erythrocytosis lead to polycythemia and depletion of iron stores (1). An additional cause of iron depletion is the bleeding tendency consequent upon thrombocytopenia and haemostatic abnormalities (2,3). Reduction of body iron has three main stages, which constitute a continuum from iron depletion, through iron deficiency to iron deficiency anaemia (4). With iron depletion, iron requirement exceeds intake causing progressive depletion of iron store (4), is reflected as a reduction in Original Article

Comparison of erythrocyte indices and haematological indices as markers of iron status of lagos children with cyanotic congenital heart disease