Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
January 1, 1994Acta OncologicaOpen Access

Cardiac Diastolic Function in Pediatric Patients Receiving Doxorubicin

View Full Paper
Ask AI
Bookmark
Share

Key result

Doxorubicin treatment in children caused a small but significant decline in systolic cardiac function without significant changes in measured parameters of diastolic function.

Why the study?

Does doxorubicin chemotherapy alter systolic and diastolic echocardiographic parameters in pediatric patients?

Population

61 pediatric patients receiving doxorubicin chemotherapy, with no clinical evidence of cardiac…

Comparison

Doxorubicin chemotherapy vs Pre-treatment baseline

Design

Cohort

Authors

MEMichael S. EwerCardio-OncologyMAMohamed K. AliAssiut UniversityHGHarry R. GibbsThe University of Texas MD Anderson Cancer Center

Discussion

Loading...

Member takes

Overview

May support systolic-focused echocardiography for early detection in pediatric doxorubicin recipients; leaves open the added value of diastolic parameters at low doses.

Study Design

Type

Cohort (n=61)

Structured PICO

Does doxorubicin chemotherapy alter systolic and diastolic echocardiographic parameters in pediatric patients?

P
Population
61 children receiving relatively low cumulative doses of doxorubicin, with no prior clinical evidence of cardiac decompensation, evaluated prior to and following chemotherapy.
E
Exposure
Doxorubicin chemotherapy (relatively low cumulative doses, majority by continuous infusion)
C
Comparator
Pre-treatment baseline
O
Outcome
Systolic function (fractional shortening) and diastolic function (A wave velocity, E wave velocity, E to A ratio, and deceleration time)surrogate

In pediatric patients receiving low-dose doxorubicin, systolic function (fractional shortening) is a more sensitive marker of early cardiac changes than standard diastolic function parameters.

Cite This Study

Ewer et al. (1994) conducted a cohort in Pediatric patients receiving doxorubicin (n=61). Doxorubicin vs. Baseline (prior to chemotherapy) was evaluated on Systolic and diastolic function. Doxorubicin treatment in children caused a small but significant decline in systolic cardiac function without significant changes in measured parameters of diastolic function.

synapsesocial.com/papers/6aa3b4b0240321efda5553a7https://doi.org/10.3109/02841869409121776
View Full Paper
Ask AI
Bookmark
Share

Also Consider

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

  1. 1Guidelines for Cardiac Monitoring of Children During and After Anthracycline Therapy: Report of the Cardiology Committee of the Childrens Cancer Study Group1992 · 335 citations
  2. 2Diastolic Dysfunction in Congestive Heart Failure1991 · 354 citations
  3. 3Adriamycin1974 · 1,063 citations
  4. 4Long term doxorubicin cardiotoxicity in childhood: non-invasive evaluation of the contractile state and diastolic filling.1988 · 64 citations
  5. 5Doxorubicin Cardiotoxicity: Assessment of Late Left Ventricular Dysfunction By Radionuclide Cineangiography1981 · 176 citations