Chemotherapy during pregnancy: effect of anthracyclines on fetal and maternal cardiac function
| Autor: | Catherine Barrea, Mina Mhallem Gziri, Luc De Catte, Sileny Han, Luc Mertens, Kristel Van Calsteren, Frédéric Amant, Frédéric Debiève, Liesbeth Heyns |
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| Rok vydání: | 2012 |
| Předmět: |
Cardiac function curve
Gynecology medicine.medical_specialty Pregnancy Fetus Cardiotoxicity Anthracycline business.industry Obstetrics and Gynecology Gestational age General Medicine medicine.disease Internal medicine embryonic structures cardiovascular system Cardiology medicine Amniotic fluid index Prospective cohort study business |
| Zdroj: | Acta Obstetricia et Gynecologica Scandinavica. 91:1465-1468 |
| ISSN: | 0001-6349 |
| DOI: | 10.1111/j.1600-0412.2012.01524.x |
| Popis: | Chemotherapy and especially anthracyclines are associated to cardiotoxicity. To assess this potential risk during pregnancy a clinical case-control trial was conducted. Maternal cardiac function, fetal Doppler and fetal cardiac function were evaluated before and after chemotherapy. Maternal cardiac function was assessed by echocardiography before and after the third cycle of anthracyclines and compared with a control group of 10 non-pregnant women matched for age, type of cancer and anthracycline treatment. Ten fetuses exposed to chemotherapy were compared with 10 control fetuses matched for gestational age and gender. Biometry, amniotic fluid index, fetal Doppler and cardiac function were assessed before and after each cycle of chemotherapy. In all, 108 fetal ultrasounds scans were performed before and after 36 cycles of chemotherapy. Anthracycline exposure did not result in acute maternal and fetal cardiac dysfunction in this small cohort study. |
| Databáze: | OpenAIRE |
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