Myocardial Extracellular Volume by Cardiac Magnetic Resonance Imaging in Patients Treated With Anthracycline-Based Chemotherapy
We aimed to determine whether the myocardial extracellular volume (ECV), measured using T1 measurements obtained during cardiac magnetic resonance imaging were increased in patients treated with anthracyclines. We performed cardiac magnetic resonance imaging and echocardiography and measured the ECV...
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| Veröffentlicht in: | The American journal of cardiology 2013-03, Vol.111 (5), p.717-722 |
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| creator | Neilan, Tomas G., MD Coelho-Filho, Otavio R., MD, MPH Shah, Ravi V., MD Feng, Jiazuo H., BA Pena-Herrera, Diego Mandry, Damien, MD Pierre-Mongeon, Francois, MD Heydari, Bobak, MD Francis, Sanjeev A., MD Moslehi, Javid, MD Kwong, Raymond Y., MD, MPH Jerosch-Herold, Michael, PhD |
| description | We aimed to determine whether the myocardial extracellular volume (ECV), measured using T1 measurements obtained during cardiac magnetic resonance imaging were increased in patients treated with anthracyclines. We performed cardiac magnetic resonance imaging and echocardiography and measured the ECV in 42 patients treated with anthracyclines. The data from the cardiac magnetic resonance study were compared to those from healthy volunteers. The anthracycline-treated cohort consisted of 21 men and 21 women with a mean age of 55 ± 17 years, who presented a median of 84 months after chemotherapy with a cumulative anthracycline exposure of 282 ± 65 mg/m2 and a mean left ventricular ejection fraction of 52 ± 12%. The ECV was elevated in the anthracycline-treated patients compared to the age- and gender-matched controls (0.36 ± 0.03 vs 0.28 ± 0.02, p |
| doi_str_mv | 10.1016/j.amjcard.2012.11.022 |
| format | Article |
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We performed cardiac magnetic resonance imaging and echocardiography and measured the ECV in 42 patients treated with anthracyclines. The data from the cardiac magnetic resonance study were compared to those from healthy volunteers. The anthracycline-treated cohort consisted of 21 men and 21 women with a mean age of 55 ± 17 years, who presented a median of 84 months after chemotherapy with a cumulative anthracycline exposure of 282 ± 65 mg/m2 and a mean left ventricular ejection fraction of 52 ± 12%. The ECV was elevated in the anthracycline-treated patients compared to the age- and gender-matched controls (0.36 ± 0.03 vs 0.28 ± 0.02, p <0.001). A positive association was found between the ECV and left atrial volume (ECV vs indexed left atrial volume, r = 0.65, p <0.001), and negative association was found between the ECV and diastolic function (E′ lateral, r = −0.64, p <0.001). In conclusion, the myocardial ECV is elevated in patients with previous anthracycline treatment and is associated with the diastolic function and increased atrial volumes.</description><identifier>ISSN: 0002-9149</identifier><identifier>EISSN: 1879-1913</identifier><identifier>DOI: 10.1016/j.amjcard.2012.11.022</identifier><identifier>PMID: 23228924</identifier><identifier>CODEN: AJCDAG</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Anthracyclines - adverse effects ; Anthracyclines - therapeutic use ; Cardiology ; Cardiomyopathies - chemically induced ; Cardiomyopathies - diagnosis ; Cardiomyopathies - physiopathology ; Cardiovascular ; Cardiovascular disease ; Chemotherapy ; Extracellular Space ; Female ; Heart attacks ; Heart failure ; Humans ; Lymphoma ; Magnetic Resonance Imaging, Cine - methods ; Male ; Mortality ; Myocardium - pathology ; Neoplasms - drug therapy ; Pulmonary arteries ; Retrospective Studies ; Stroke Volume - drug effects ; Ventricular Function, Left</subject><ispartof>The American journal of cardiology, 2013-03, Vol.111 (5), p.717-722</ispartof><rights>Elsevier Inc.</rights><rights>2013 Elsevier Inc.</rights><rights>Copyright © 2013 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Mar 1, 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c495t-319e2b0d4c1131cf77ec4e6d4256de4a53d370c86ad025a63d0fcbc26896fdab3</citedby><cites>FETCH-LOGICAL-c495t-319e2b0d4c1131cf77ec4e6d4256de4a53d370c86ad025a63d0fcbc26896fdab3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0002914912024551$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23228924$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Neilan, Tomas G., MD</creatorcontrib><creatorcontrib>Coelho-Filho, Otavio R., MD, MPH</creatorcontrib><creatorcontrib>Shah, Ravi V., MD</creatorcontrib><creatorcontrib>Feng, Jiazuo H., BA</creatorcontrib><creatorcontrib>Pena-Herrera, Diego</creatorcontrib><creatorcontrib>Mandry, Damien, MD</creatorcontrib><creatorcontrib>Pierre-Mongeon, Francois, MD</creatorcontrib><creatorcontrib>Heydari, Bobak, MD</creatorcontrib><creatorcontrib>Francis, Sanjeev A., MD</creatorcontrib><creatorcontrib>Moslehi, Javid, MD</creatorcontrib><creatorcontrib>Kwong, Raymond Y., MD, MPH</creatorcontrib><creatorcontrib>Jerosch-Herold, Michael, PhD</creatorcontrib><title>Myocardial Extracellular Volume by Cardiac Magnetic Resonance Imaging in Patients Treated With Anthracycline-Based Chemotherapy</title><title>The American journal of cardiology</title><addtitle>Am J Cardiol</addtitle><description>We aimed to determine whether the myocardial extracellular volume (ECV), measured using T1 measurements obtained during cardiac magnetic resonance imaging were increased in patients treated with anthracyclines. We performed cardiac magnetic resonance imaging and echocardiography and measured the ECV in 42 patients treated with anthracyclines. The data from the cardiac magnetic resonance study were compared to those from healthy volunteers. The anthracycline-treated cohort consisted of 21 men and 21 women with a mean age of 55 ± 17 years, who presented a median of 84 months after chemotherapy with a cumulative anthracycline exposure of 282 ± 65 mg/m2 and a mean left ventricular ejection fraction of 52 ± 12%. The ECV was elevated in the anthracycline-treated patients compared to the age- and gender-matched controls (0.36 ± 0.03 vs 0.28 ± 0.02, p <0.001). A positive association was found between the ECV and left atrial volume (ECV vs indexed left atrial volume, r = 0.65, p <0.001), and negative association was found between the ECV and diastolic function (E′ lateral, r = −0.64, p <0.001). In conclusion, the myocardial ECV is elevated in patients with previous anthracycline treatment and is associated with the diastolic function and increased atrial volumes.</description><subject>Anthracyclines - adverse effects</subject><subject>Anthracyclines - therapeutic use</subject><subject>Cardiology</subject><subject>Cardiomyopathies - chemically induced</subject><subject>Cardiomyopathies - diagnosis</subject><subject>Cardiomyopathies - physiopathology</subject><subject>Cardiovascular</subject><subject>Cardiovascular disease</subject><subject>Chemotherapy</subject><subject>Extracellular Space</subject><subject>Female</subject><subject>Heart attacks</subject><subject>Heart failure</subject><subject>Humans</subject><subject>Lymphoma</subject><subject>Magnetic Resonance Imaging, Cine - methods</subject><subject>Male</subject><subject>Mortality</subject><subject>Myocardium - pathology</subject><subject>Neoplasms - drug therapy</subject><subject>Pulmonary arteries</subject><subject>Retrospective Studies</subject><subject>Stroke Volume - drug effects</subject><subject>Ventricular Function, 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MD</au><au>Moslehi, Javid, MD</au><au>Kwong, Raymond Y., MD, MPH</au><au>Jerosch-Herold, Michael, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Myocardial Extracellular Volume by Cardiac Magnetic Resonance Imaging in Patients Treated With Anthracycline-Based Chemotherapy</atitle><jtitle>The American journal of cardiology</jtitle><addtitle>Am J Cardiol</addtitle><date>2013-03-01</date><risdate>2013</risdate><volume>111</volume><issue>5</issue><spage>717</spage><epage>722</epage><pages>717-722</pages><issn>0002-9149</issn><eissn>1879-1913</eissn><coden>AJCDAG</coden><abstract>We aimed to determine whether the myocardial extracellular volume (ECV), measured using T1 measurements obtained during cardiac magnetic resonance imaging were increased in patients treated with anthracyclines. We performed cardiac magnetic resonance imaging and echocardiography and measured the ECV in 42 patients treated with anthracyclines. The data from the cardiac magnetic resonance study were compared to those from healthy volunteers. The anthracycline-treated cohort consisted of 21 men and 21 women with a mean age of 55 ± 17 years, who presented a median of 84 months after chemotherapy with a cumulative anthracycline exposure of 282 ± 65 mg/m2 and a mean left ventricular ejection fraction of 52 ± 12%. The ECV was elevated in the anthracycline-treated patients compared to the age- and gender-matched controls (0.36 ± 0.03 vs 0.28 ± 0.02, p <0.001). A positive association was found between the ECV and left atrial volume (ECV vs indexed left atrial volume, r = 0.65, p <0.001), and negative association was found between the ECV and diastolic function (E′ lateral, r = −0.64, p <0.001). In conclusion, the myocardial ECV is elevated in patients with previous anthracycline treatment and is associated with the diastolic function and increased atrial volumes.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>23228924</pmid><doi>10.1016/j.amjcard.2012.11.022</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Anthracyclines - adverse effects Anthracyclines - therapeutic use Cardiology Cardiomyopathies - chemically induced Cardiomyopathies - diagnosis Cardiomyopathies - physiopathology Cardiovascular Cardiovascular disease Chemotherapy Extracellular Space Female Heart attacks Heart failure Humans Lymphoma Magnetic Resonance Imaging, Cine - methods Male Mortality Myocardium - pathology Neoplasms - drug therapy Pulmonary arteries Retrospective Studies Stroke Volume - drug effects Ventricular Function, Left |
| title | Myocardial Extracellular Volume by Cardiac Magnetic Resonance Imaging in Patients Treated With Anthracycline-Based Chemotherapy |
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