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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1986-5-19
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pubmed:abstractText |
Previous reports have characterized the various non-drug-induced cardiac disorders in cancer patients as well as the cardiotoxicity of commonly used anticancer agents. This study was conducted to determine the non-drug-related incidence of arrhythmias in patients receiving phase I antineoplastics. Twenty-four-hour Holter monitors were placed on 36 consecutive patients about to receive phase I agents. A 1-4-hour baseline was obtained before treatment was begun. Sixty-four percent of the patients observed had a wide variety of ventricular and supraventricular dysrhythmias which did not increase during or after chemotherapy. Eighty-four percent of these arrhythmias were not detected during routine monitoring consisting of baseline 12-lead ECGs and 1-minute rhythm strips prior to, during, and after treatment, but were detected with the Holter monitor. Thirty-six percent of the dysrhythmias detected by the Holter monitor were considered potentially treatable arrhythmias requiring further evaluation and possible therapeutic intervention. During the early development of phase I agents, careful evaluation should be exercised so as not to confuse pre-existing, undiagnosed arrhythmias with drug-induced changes. To more accurately determine the true arrhythmogenic potential of phase I agents, Holter monitoring should be considered as a standard part of patient assessment prior to entry of a patient in phase I trials.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0361-5960
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
70
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
349-52
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:3955546-Adult,
pubmed-meshheading:3955546-Aged,
pubmed-meshheading:3955546-Arrhythmias, Cardiac,
pubmed-meshheading:3955546-Drug Evaluation,
pubmed-meshheading:3955546-Electrocardiography,
pubmed-meshheading:3955546-Female,
pubmed-meshheading:3955546-Humans,
pubmed-meshheading:3955546-Male,
pubmed-meshheading:3955546-Middle Aged,
pubmed-meshheading:3955546-Monitoring, Physiologic,
pubmed-meshheading:3955546-Neoplasms
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pubmed:year |
1986
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pubmed:articleTitle |
Electrocardiographic monitoring of patients receiving phase I cancer chemotherapy.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.
|