Abstract:
OBJECTIVE:The PRevention of cArdiac Dysfunction during Adjuvant breast cancer therapy (PRADA) study is a randomized, placebo-controlled, double-blind trial to determine whether angiotensin receptor blockers (ARB), or beta-blockers or their combination may prevent the development of left ventricular (LV) dysfunction in patients on standard adjuvant treatment for early breast cancer. METHODS:Following surgical resection, 120 breast cancer patients scheduled for adjuvant epirubicin-containing chemotherapy and, if indicated, trastuzumab, will be included. They will be randomized to an ARB (candesartan), a beta-blocker (metoprolol) and matching placebos in a 2 × 2 factorial design. The primary objective of the PRADA study is to assess whether prophylactic ARB and/or beta-blockers may prevent a reduction in LV ejection fraction (EF) after adjuvant treatment of early breast cancer, as evaluated by serial cardiovascular magnetic resonance (CMR) performed at randomization, after the first chemotherapy cycle and on its completion, and for subgroups, on completion of radiotherapy or trastuzumab. Secondary outcome measures include echocardiographic indices of LV diastolic dysfunction, structural myocardial alterations assessed by CMR and changes in cardiac biomarkers. CONCLUSION:PRADA may provide new information on the prophylactic effect of ARB and beta-blockers in patients with early breast cancer regarding the risk of developing cardiac dysfunction from adjuvant cancer treatment.
journal_name
Cardiologyjournal_title
Cardiologyauthors
Heck SL,Gulati G,Ree AH,Schulz-Menger J,Gravdehaug B,Røsjø H,Steine K,Bratland A,Hoffmann P,Geisler J,Omland Tdoi
10.1159/000343622subject
Has Abstractpub_date
2012-01-01 00:00:00pages
240-7issue
4eissn
0008-6312issn
1421-9751pii
000343622journal_volume
123pub_type
杂志文章,随机对照试验相关文献
CARDIOLOGY文献大全abstract::Investigations on orthostatic tolerance and physical fitness prior to and after 6-8 h immersion experiments surprisingly revealed that all untrained subjects endured pre- and postimmersion tilt table tests without subjective complaints, whereas after immersion all trained participants collapsed within the first minute...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000169816
更新日期:1976-01-01 00:00:00
abstract:BACKGROUND:The landmark Dual Antiplatelet Therapy (DAPT) trial revealed an impressive reduction of stent thrombosis and myocardial infarction after prolonged 30-month DAPT compared to the conventional 12-month regimen. However, aside from the expected extra bleeding risks, more cancers and noncardiovascular deaths (NCV...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000431356
更新日期:2015-01-01 00:00:00
abstract::It is well documented that in the treatment of mild or moderate hypertension selective alpha 1-inhibitors such as doxazosin and prazosin lower blood pressure to approximately the same extent as beta-blockers, diuretics, ACE inhibitors and calcium antagonists. However, treatment with selective alpha 1-inhibitors is als...
journal_title:Cardiology
pub_type: 杂志文章,评审
doi:10.1159/000175963
更新日期:1993-01-01 00:00:00
abstract::Renal function in the basal state and after sodium load has been investigated in 21 borderline, hypertensive, first-degree relatives of established hypertensives and in 21 age- and sex-matched, normal subjects with no family history of hypertension. During intravenous infusion of inulin and p-aminohippurate in saline,...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000173517
更新日期:1982-01-01 00:00:00
abstract:CONTEXT:Oral reversible platelet P2Y12 receptor inhibitors (ticagrelor and elinogrel) cause double-digit rates of dyspnea, while irreversible oral antiplatelet drugs (aspirin, ticlopidoine, clopidogrel, and prasugrel) or intravenous glycoprotein IIb/IIIa inhibitors (abciximab, eptifibatide, or tirofiban) do not increas...
journal_title:Cardiology
pub_type: 杂志文章,meta分析,评审
doi:10.1159/000354876
更新日期:2014-01-01 00:00:00
abstract::Renal hemodynamics in essential hypertensives is characterized by an increase in renal vascular resistance (RVR) and a decrease in renal plasma flow (RPF), while glomerular filtration rate (GFR) is either normal or slightly decreased. Filtration fraction (FF) is increased, indicating that vasoconstriction predominantl...
journal_title:Cardiology
pub_type: 杂志文章,评审
doi:10.1159/000176006
更新日期:1993-01-01 00:00:00
abstract:OBJECTIVES:We undertook this study to assess the relationship between presentation pattern and mortality in patients with acute coronary syndrome (ACS) undergoing percutaneous coronary intervention. METHODS:This registry included 10,455 patients with ACS, of whom 2,853 patients had ST-segment elevation myocardial infa...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000201273
更新日期:2009-01-01 00:00:00
abstract::Cell therapies hold the potential for suppression, modification, or cure of disease. Several unique challenges have been recognized as this field has developed. Many of these involve considerations of trial design. This paper summarizes the discussion and suggestions constructed during the 8th Cardiovascular Clinical ...
journal_title:Cardiology
pub_type: 杂志文章,评审
doi:10.1159/000110483
更新日期:2008-01-01 00:00:00
abstract::An anonymous patient perception comprehension and satisfaction questionnaire was sent to 438 patients 1-3 months after they had participated in a clinical cardiovascular trial to examine the level of patient comprehension as perceived by the patient. We compared perceived comprehension in acute (acute myocardial infar...
journal_title:Cardiology
pub_type: 临床试验,杂志文章
doi:10.1159/000069729
更新日期:2003-01-01 00:00:00
abstract::This study assessed behavioral activity, dietary and emotional variables among patient cohorts with angina pectoris, atypical chest pain, and no chest pain in whom coronary disease is suspected. Questionnaire responses of 3,899 employed male patients at the time of coronary arteriography were analyzed. Patients with a...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000174344
更新日期:1988-01-01 00:00:00
abstract:BACKGROUND AND AIMS:Most cases of infective endocarditis are caused by nonenterococcal streptococci. The emergence of strains resistant to penicillin is increasingly recognized worldwide. This study sought to assess the effect of penicillin resistance on presentation and outcome of streptococcal endocarditis. METHODS:...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000091821
更新日期:2006-01-01 00:00:00
abstract:OBJECTIVE:Atrial fibrosis plays a critical role in atrial fibrillation (AF). A key event in the pathogenesis of fibrosis is the activation of fibroblasts (FBs) into myofibroblasts (MFBs). Paracrine factors released from MFBs lead to ion channel expression changes in cardiomyocytes (CMs). Downregulation of L-type calciu...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000505641
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVES:Although dual antiplatelet therapy (DAPT) with aspirin and clopidogrel is currently recommended in patients after transcatheter aortic valve implantation (TAVI), this practice is not supported by sufficient evidence. This study was performed to compare DAPT to single antiplatelet therapy (SAPT). METHODS:An ...
journal_title:Cardiology
pub_type: 杂志文章,meta分析
doi:10.1159/000490307
更新日期:2018-01-01 00:00:00
abstract::Coarctation of the aorta commonly presents in infancy as congestive heart failure, or later in childhood as hypertension or as a heart murmur. However, we experienced a unique infant case of isolated coarctation presenting with acute decompensation of a dilated cardiomyopathy, which recovered completely 8 months posto...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000092600
更新日期:2006-01-01 00:00:00
abstract::Fractional flow reserve (FFR) may not be immune from hemodynamic perturbations caused by both vessel and lesion related factors. The aim of this study was to investigate the impact of plaque- and vessel wall-related features of vulnerability on the hemodynamic effect of intermediate coronary stenoses. Methods and Resu...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000508885
更新日期:2021-01-01 00:00:00
abstract:OBJECTIVES:To investigate a polymorphism of the apolipoprotein J (APOJ) gene in relation to coronary artery disease (CAD) and lipid variables in a Chinese male population of genetically unrelated individuals. METHODS:In this study, we recruited 126 control male subjects and 237 CAD male patients. CAD was defined as a ...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000326852
更新日期:2011-01-01 00:00:00
abstract:OBJECTIVES:The aim of the study was to determine whether the release by macrophages of matrix metalloproteinase (MMP)-12 and vascular endothelial growth factor (VEGF) - leading to inflammation, matrix degradation and neoangiogenesis - represents an effective pathway that underlies aortic wall remodeling in Stanford typ...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000355253
更新日期:2014-01-01 00:00:00
abstract::Ventricular late potentials are obtained by signal averaging of surface electrocardiograms. Late potentials have been reported to be affected by body size or left ventricular mass. However, the effect of subadipose tissue, which is known to influence QRS amplitudes of surface ECG, on the variables of late potentials h...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000175854
更新日期:1993-01-01 00:00:00
abstract:OBJECTIVES:It is known that the expression, activity and alternative splicing of Ca2+/calmodulin-dependent protein kinase IIδ (CaMKIIδ) are dysregulated in the cardiac remodeling process. Recently, we found a further signaling pathway, by which dual-specificity tyrosine phosphorylation-regulated kinase 1A (Dyrk1A) regu...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000441695
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:Digital health is rapidly entering clinical practice in cardiology. Estonia is one of the leading nations in implementing digital nationwide solutions. Recently, the European Society of Cardiology organized the 1st Summit on Digital Health in Tallinn, which provided the opportunity to discuss various aspects...
journal_title:Cardiology
pub_type: 杂志文章,评审
doi:10.1159/000504564
更新日期:2020-01-01 00:00:00
abstract::Fifty percent of patients with dilated cardiomyopathy die within 5 years of diagnosis. Syncope is known to be a predictor of poor outcome in patients with advanced heart failure. To assess the risk of patients with dilated cardiomyopathy with a history of syncope during standard medical treatment we compared this grou...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000177083
更新日期:1996-05-01 00:00:00
abstract:BACKGROUND:End-stage renal disease is associated with cardiac remodeling, which is partly reversible after kidney transplantation (KT). We aimed to determine the association of cardiovascular comorbidities or kidney-related factors with cardiac reverse remodeling after KT. METHODS:We performed echocardiography in 56 p...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000504381
更新日期:2020-01-01 00:00:00
abstract::Aortic valve myxoma is an extremely rare cardiac tumour. We describe a 60-year-old woman found to have an aortic valve myxoma and a patent foramen ovale (PFO) presenting as a stroke. In view of the recurrent cerebral ischaemic events, the aortic valve myxoma was surgically removed and the PFO was closed. To the best o...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000327081
更新日期:2011-01-01 00:00:00
abstract::The combination of oral anticoagulation (OAC) and aspirin was the antithrombotic treatment initially adopted after coronary stenting (PCI-S). Although dual antiplatelet therapy with aspirin and a thienopyridine subsequently proved safer and more effective, OAC and aspirin combination is still used in patients with an ...
journal_title:Cardiology
pub_type: 杂志文章,meta分析
doi:10.1159/000086918
更新日期:2005-01-01 00:00:00
abstract:OBJECTIVE:This study sought to elucidate the underlying hemodynamic mechanisms involved in the longitudinal propagation of acute, type-B aortic dissections. METHODS:Three-dimensional patient-specific aortic geometry was reconstructed from computed tomography images of 3 cases, followed by computational fluid dynamic a...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000358041
更新日期:2014-01-01 00:00:00
abstract::Tissue Doppler imaging (TDI) is a new echocardiographic technique employing the Doppler principle to measure the velocity of myocardial segments and other cardiac structures. It is well suited for the measurement of long-axis ventricular function. Impairment of longitudinal myocardial fiber motion is a sensitive marke...
journal_title:Cardiology
pub_type: 杂志文章,评审
doi:10.1159/000076694
更新日期:2004-01-01 00:00:00
abstract::Of 1,125 patients catheterized over a period of 8 years, 68 (6%) had coronary ectasia. Twenty-five of them were catheterized at least twice and constituted the study group. The time between the first and last catheterization ranged from 2 to 8 years (mean +/- SD = 4.2 +/- 1.6). Coronary ectasia was more frequent in ma...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000176907
更新日期:1995-01-01 00:00:00
abstract::The purpose of this study was to elucidate the mechanism that induces an improvement in exercise capacity by nitrates in patients with stable effort angina pectoris. The study population was composed of 19 patients: group A, 10 patients with chronic stable effort angina who had a well-developed coronary collateral cir...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000174812
更新日期:1991-01-01 00:00:00
abstract:BACKGROUND:N-terminal pro-B-type natriuretic peptide (NT-proBNP) appears to be a strong risk marker of mortality in patients with acute coronary syndrome. However, little information is available on NT-proBNP as a predictor of long-term serious cardiovascular events beyond that of left ventricular ejection fraction in ...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000092743
更新日期:2006-01-01 00:00:00
abstract::To investigate the possible role of endothelin in coronary vasoconstriction contributing to the development of myocardial ischemia, plasma endothelin concentrations at rest and during atrial pacing-induced myocardial ischemia have been measured in blood samples drawn from the aorta and coronary sinus in 12 patients wi...
journal_title:Cardiology
pub_type: 杂志文章
doi:10.1159/000176670
更新日期:1994-01-01 00:00:00