Myocardial function and postmortem myocardial histology in children given anthracycline therapy for cancer.

Abstract:

: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.

journal_name

Pediatr Hematol Oncol

authors

Pihkala J,Sariola H,Saarinen UM

doi

10.3109/08880019409141669

subject

Has Abstract

pub_date

1994-05-01 00:00:00

pages

259-69

issue

3

eissn

0888-0018

issn

1521-0669

journal_volume

11

pub_type

杂志文章
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