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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1994-9-19
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pubmed:abstractText |
In an autopsy series of children with cancer, histopathologic myocardial changes caused by anthracyclines (A) were evaluated. The series comprised three groups: group A, 9 patients given A whose myocardial function had been evaluated before death; group B, 10 patients given A, but no lifetime echocardiographic evaluation; group C, 8 patients treated with chemotherapy regimens not including A. Both the cumulative A dose (P < 0.01) and the age of the patient at death (P < 0.001) were correlated with the pathologic changes in the myocardium. In echocardiography of group A patients, left ventricular (LV) contractility was subnormal in 5 (56%) patients, and the afterload was elevated in 3 (33%); the morphologic changes correlated with the LV wall stress (= afterload) (P < 0.05) and with LV fractional shortening (P < 0.04). We conclude that clinical decisions about A therapy should be based on cumulative A dose and myocardial function tests. Myocardial biopsies should be restricted to selected cases.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0888-0018
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
11
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
259-69
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:8060810-Adolescent,
pubmed-meshheading:8060810-Autopsy,
pubmed-meshheading:8060810-Cardiomyopathies,
pubmed-meshheading:8060810-Child,
pubmed-meshheading:8060810-Child, Preschool,
pubmed-meshheading:8060810-Daunorubicin,
pubmed-meshheading:8060810-Doxorubicin,
pubmed-meshheading:8060810-Echocardiography,
pubmed-meshheading:8060810-Female,
pubmed-meshheading:8060810-Heart,
pubmed-meshheading:8060810-Heart Function Tests,
pubmed-meshheading:8060810-Humans,
pubmed-meshheading:8060810-Infant,
pubmed-meshheading:8060810-Leukemia,
pubmed-meshheading:8060810-Lymphoma, Non-Hodgkin,
pubmed-meshheading:8060810-Male,
pubmed-meshheading:8060810-Myocardium,
pubmed-meshheading:8060810-Neoplasms,
pubmed-meshheading:8060810-Precursor Cell Lymphoblastic Leukemia-Lymphoma
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pubmed:articleTitle |
Myocardial function and postmortem myocardial histology in children given anthracycline therapy for cancer.
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pubmed:affiliation |
Children's Hospital, University of Helsinki, Finland.
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pubmed:publicationType |
Journal Article
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