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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1996-9-5
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pubmed:abstractText |
Cardiotoxicity is a potential adverse effect of anthracycline (A) therapy. Radiotherapy (XRT) may also cause a variety of cardiac complications. The purpose of the present study was to evaluate these cardiac side-effects in children and adolescents treated for cancer. We assessed the cardiac status of 91 patients, divided into three groups: Group A (n = 53) had anthracyclines at a mean cumulative dose of 410 mg/m2, group A+XRT (n = 26) had both chest irradiation (XRT) and A (mean 360 mg/m2), and group XRT (n = 12) had XRT alone. The patients differed from the controls in both systolic and diastolic indices of myocardial function. In echocardiography, the left ventricular (LV) contractility was abnormal in 32% in group A, in 50% in group A+XRT, and in 8% in group XRT. In radionuclide cineangiography, the LV ejection fraction was subnormal in 19% in group A, in 24% in group A+XRT, and in 1 patient in group XRT. A higher cumulative dose of A predicted decreased contractility. Treatment with A and/or XRT often leads to cardiotoxicity. Although in most cases this cardiotoxicity seems to be mild and subclinical, the long-term clinical sequelae merit further evaluation.
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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:month |
Jan
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pubmed:issn |
0959-8049
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
32A
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
97-103
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:8695252-Adolescent,
pubmed-meshheading:8695252-Adult,
pubmed-meshheading:8695252-Antibiotics, Antineoplastic,
pubmed-meshheading:8695252-Child,
pubmed-meshheading:8695252-Child, Preschool,
pubmed-meshheading:8695252-Combined Modality Therapy,
pubmed-meshheading:8695252-Daunorubicin,
pubmed-meshheading:8695252-Doxorubicin,
pubmed-meshheading:8695252-Female,
pubmed-meshheading:8695252-Follow-Up Studies,
pubmed-meshheading:8695252-Heart,
pubmed-meshheading:8695252-Heart Diseases,
pubmed-meshheading:8695252-Humans,
pubmed-meshheading:8695252-Male,
pubmed-meshheading:8695252-Neoplasms,
pubmed-meshheading:8695252-Radiation Injuries,
pubmed-meshheading:8695252-Radiotherapy
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pubmed:year |
1996
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pubmed:articleTitle |
Myocardial function in children and adolescents after therapy with anthracyclines and chest irradiation.
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pubmed:affiliation |
Children's Hospital, University of Helsinki, Finland.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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