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骨肉瘤患者接受蒽环类药物治疗后心脏功能的短期变化。

Short-Term Changes in Cardiac Function in Osteosarcoma Patients Receiving Anthracyclines.

机构信息

1 Department of Clinical Cancer Prevention and Cardiology, The University of Texas M.D. Anderson Cancer Center, Houston, Texas.

2 Department of Cardiology, The University of Texas M.D. Anderson Cancer Center, Houston, Texas.

出版信息

J Adolesc Young Adult Oncol. 2019 Jun;8(3):385-386. doi: 10.1089/jayao.2018.0141. Epub 2019 Feb 22.

Abstract

Studies of cardiac function in adolescent and young adult survivors have been performed at least a decade after anthracycline exposure, with little knowledge of short-term changes in cardiac function in this age group. To this end, we evaluated cardiac function within a 2-year period among 18 patients who received high-dose anthracyclines for osteosarcoma treatment. At 2 years, there was a significant decline in left ventricular ejection fraction ( = 0.005), with 8 of 18 patients having a >10% reduction. There was a significant change in E-wave velocity ( = 0.04). To our knowledge, this is the first study assessing short-term change in systolic and diastolic function in osteosarcoma patients receiving anthracyclines.

摘要

对青少年和年轻成年幸存者的心脏功能研究至少在蒽环类药物暴露后十年进行,而对该年龄段心脏功能的短期变化知之甚少。为此,我们在接受大剂量蒽环类药物治疗骨肉瘤的 18 名患者中评估了 2 年内的心脏功能。2 年后,左心室射血分数显著下降(= 0.005),18 例患者中有 8 例下降超过 10%。E 波速度有显著变化(= 0.04)。据我们所知,这是第一项评估接受蒽环类药物治疗的骨肉瘤患者收缩和舒张功能短期变化的研究。

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