Hello all. I have been trying to find if there are studies suggesting or not preventive transfusion in patients with sickle cell disease in order to prevent cardiovascular disease, also if there is a guideline that suggest the baseline for the anemia or is it just when the patient presents signs suggesting the necessity of blood the only criteria to establish what the baseline hemoglobin level of a patient should be. Also if there are recommendations of when to start cardiology evaluation to determine the heart function.