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December 1, 2019Circulation Cardiovascular ImagingOpen Access

Echocardiographic Assessment of Cardiac Function in Pediatric Survivors of Anthracycline-Treated Childhood Cancer

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Why the study?

Echocardiographic myocardial strain imaging is recommended in adult cancer patients, but its role in pediatric childhood cancer survivors has not been well established.

Does echocardiographic myocardial strain imaging provide added value in identifying cardiac dysfunction in pediatric survivors of anthracycline-treated childhood cancer compared to controls?

Population

Childhood cancer survivors ≥3 years from last anthracycline treatment and controls

Comparison

Childhood cancer survivors vs controls

Design

Multicenter study

Authors

MSMartijn G. SliekerCFCheryl FackouryCSCameron Slorach

Discussion

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Overview

Single strain measurements offer limited added value in survivors; leaves open whether serial changes or combined metrics improve risk stratification.

Structured PICO

Does echocardiographic myocardial strain imaging provide added value in identifying cardiac dysfunction in pediatric survivors of anthracycline-treated childhood cancer compared to controls?

P
Population
Pediatric childhood cancer survivors (CCSs) ≥3 years from their last anthracycline treatment
I
Intervention
Echocardiographic myocardial strain imaging (longitudinal strain) and biomarker collection
C
Comparator
Controls
O
Outcome
Prevalence of abnormalities in left ventricular strain, comparison with other echocardiographic measurements and blood biomarkers, and risk factors for reduced strainsurrogate

Single longitudinal strain measurements offer limited added value for identifying pediatric anthracycline-treated cancer survivors at risk for cardiac dysfunction.

Cite This Study

Slieker et al. (2019) studied this question.

synapsesocial.com/papers/6a87d5b1c61576201cfb0b53https://doi.org/10.1161/circimaging.119.008869
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