Longitudinal evaluation of anthracycline cardiotoxicity by signal-averaged electrocardiography in children with cancer

Autor: Miho Maeda, Daichi Fukumi, Yohko Uchikoba, Shunichi Ogawa
Rok vydání: 2002
Předmět:
Zdroj: Pediatrics international : official journal of the Japan Pediatric Society. 44(2)
ISSN: 1328-8067
Popis: Background: The aim of the present study was to investigate the detection of anthracycline cardiotoxicity by signal-averaged electrocardiography (SAE) in children with cancer. Methods: There were 29 patients with a cumulative anthracycline (ATC) dose of 75−600 mg/m2. None of them had congestive heart failure. Patients underwent SAE just before (detection of chronic cardiotoxicity) and just after (detection of acute cardiotoxicity) ATC therapy. Echocardiography and Holter electrocardi­o­graphy were performed at the same time. The rates of abnormal SAE, echocardiography, and electrocardiogram findings were calculated and compared for every 100 mg/m2 of ATC. Results: The SAE showed a significantly higher detection rate for acute cardiotoxicity was at a cumulative ATC dose of less than 400 mg/m2 when compared with other methods (P
Databáze: OpenAIRE