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October 1, 1988HeartOpen Access

Long term doxorubicin cardiotoxicity in childhood: non-invasive evaluation of the contractile state and diastolic filling.

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Key result

Childhood doxorubicin treatment was associated with dose-dependent impairment of diastolic function and increased baseline end-systolic wall stress at cumulative doses >360 mg/m2.

Why the study?

Does doxorubicin treatment in childhood cause long-term impairment of cardiac performance in patients without overt congestive cardiomyopathy?

Population

n=55 patients evaluated at least two years after doxorubicin treatment in childhood, without overt…

Design

Cohort

Follow-up

at least two years

Authors

GHG. HausdorfCharité - Universitätsmedizin BerlinGMG MorfUniversität HamburgGBG. BeronHelios Hospital Schwerin

Discussion

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Implication

May support echocardiographic surveillance in high-dose survivors; extends observational data but leaves causal effects and interventions open.

Study Design

Type

Observational (n=55)

Structured PICO

Does doxorubicin treatment in childhood cause long-term impairment of cardiac performance in patients without overt congestive cardiomyopathy?

P
Population
55 patients evaluated at least two years after doxorubicin treatment in childhood, without overt congestive cardiomyopathy and no mediastinal irradiation.
E
Exposure
Doxorubicin treatment in childhood (exposure)
O
Outcome
Cardiac performance (contractile state and diastolic filling) measured by computer-assisted analysis of digitised echocardiogramssurrogate

Childhood doxorubicin exposure causes dose-dependent long-term impairment in diastolic filling and increased baseline end-systolic wall stress, detectable by echocardiography prior to overt cardiomyopathy.

Cite This Study

Hausdorf et al. (1988) conducted an observational in Doxorubicin cardiotoxicity (n=55). Doxorubicin was evaluated on Cardiac performance (contractile state and diastolic filling). Childhood doxorubicin treatment was associated with dose-dependent impairment of diastolic function and increased baseline end-systolic wall stress at cumulative doses >360 mg/m2.

synapsesocial.com/papers/6a20051ed4e6d3589704cf58https://doi.org/10.1136/hrt.60.4.309
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Doxorubicin Cardiomyopathy: Evaluation by Phonocardiography, Endomyocardial Biopsy, and Cardiac Catheterization1978 · 417 citations
  2. 2The cardiotoxicity of adriamycin and daunomycin in children1976 · 171 citations
  3. 3Two sensitive echocardiographic techniques for detecting doxorubicin toxicity1983 · 18 citations
  4. 4Recommendations regarding quantitation in M-mode echocardiography: results of a survey of echocardiographic measurements.1978 · 7,475 citations
  5. 5Doxorubicin Cardiotoxicity: Assessment of Late Left Ventricular Dysfunction By Radionuclide Cineangiography1981 · 176 citations