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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1985-9-6
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pubmed:abstractText |
Doxorubicin is one of the most effective antineoplastic agents but its limited use is due to acute and chronic cardiotoxicity. These side-effects are irreversible and dose-dependent, occurring in one-third of the patients treated after a cumulative dose of 300 mg/m2. It has been suggested that the problem of acute and chronic cardiotoxicity may be prevented by using L-carnitine. Hence nine patients receiving a cumulative dose (200-490 mg/m2) of doxorubicin have been studied. Acute cardiotoxicity has been evaluated by creatine kinase---marsh bender (MB) serum levels before and 15 h after treatment. Data demonstrated no significant increase of isoenzyme-MB after doxorubicin administration. Chronic cardiotoxicity has been monitored studying the electrocardiograph and the left ventricular performance by computerized M-Mode echocardiography measuring the maximal velocity of circumferential fibre shortening (VCF Max) which is considered a reliable and very sensitive non-invasive parameter to evaluate myocardial contractility. The results show a decrease in VCF Max (measured in diameter/cardiac cycle) from 1.7 +/- 0.4 to 1.4 +/- 0.3 but still within normal values. So the systematic use of L-carnitine as adjuvant therapy is proposed during doxorubicin administration.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Antibiotics, Antineoplastic,
http://linkedlifedata.com/resource/pubmed/chemical/Carnitine,
http://linkedlifedata.com/resource/pubmed/chemical/Creatine Kinase,
http://linkedlifedata.com/resource/pubmed/chemical/Doxorubicin,
http://linkedlifedata.com/resource/pubmed/chemical/Naphthacenes
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pubmed:status |
MEDLINE
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pubmed:issn |
0251-1649
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
5
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
137-42
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:3860480-Adolescent,
pubmed-meshheading:3860480-Adult,
pubmed-meshheading:3860480-Aged,
pubmed-meshheading:3860480-Antibiotics, Antineoplastic,
pubmed-meshheading:3860480-Carnitine,
pubmed-meshheading:3860480-Creatine Kinase,
pubmed-meshheading:3860480-Doxorubicin,
pubmed-meshheading:3860480-Echocardiography,
pubmed-meshheading:3860480-Electrocardiography,
pubmed-meshheading:3860480-Female,
pubmed-meshheading:3860480-Heart Diseases,
pubmed-meshheading:3860480-Humans,
pubmed-meshheading:3860480-Male,
pubmed-meshheading:3860480-Middle Aged,
pubmed-meshheading:3860480-Naphthacenes,
pubmed-meshheading:3860480-Neoplasms
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pubmed:year |
1985
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pubmed:articleTitle |
Reduction of cardiac toxicity of anthracyclines by L-carnitine: preliminary overview of clinical data.
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pubmed:publicationType |
Journal Article
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