The feature of cardial remodeling process at Doxorubicin chemotherapy and idiopathic dilatative cardiomyopathy

The aim of the study was the evaluation of structural-functional data of the left ventricle (LV) at doxorubicin chemotherapy and idiopathic dilatative cardiomyopathy. Monitoring of 99 patients had been performed: 49 with onco-hematological diseases and 50 with idiopathic dilatative cardiomyopathy. A...

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Veröffentlicht in:Georgian medical news 2006-01 (130), p.61
Hauptverfasser: Katamadze, N A, Lartsuliani, K P, Begishvili, N N, Dundua, Kh V, Kiknadze, M P
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container_issue 130
container_start_page 61
container_title Georgian medical news
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creator Katamadze, N A
Lartsuliani, K P
Begishvili, N N
Dundua, Kh V
Kiknadze, M P
description The aim of the study was the evaluation of structural-functional data of the left ventricle (LV) at doxorubicin chemotherapy and idiopathic dilatative cardiomyopathy. Monitoring of 99 patients had been performed: 49 with onco-hematological diseases and 50 with idiopathic dilatative cardiomyopathy. According to the total dose of doxorubicin the patients had been divided to three sub-groups: I subgroup -- 232.2+/-5.8 mg/m(2), II subgroup - 388+/-15.3mg/m(2), III subgroup - 533.1+/-13.6 mg/m(2). It had been revealed the dose-depending evolution of cardiotoxic effect of doxorubicin leading to the development of anthracyclic cardiomyopathy. At anthracyclic cardiomyopathy LV undergoes the same structural-functional changes as the idiopathic dilatative cardiomyopathy. The cardiotoxic effect of doxorubicin is revealed already at law summary dose of 232 mg/m(2), at "critical dose" 356-388 mg/m(2) develops diastolic dysfunction of LV with clinical manifestation of heart failure, and by summary dose of 533 mg/m(2) develops anthracyclic dilatative cardiomyopathy with systolic-diastolic dysfunction of LV and with clinical manifestation of the heart failure.
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subjects Adult
Antibiotics, Antineoplastic - administration & dosage
Antibiotics, Antineoplastic - adverse effects
Antibiotics, Antineoplastic - therapeutic use
Cardiomyopathy, Dilated - chemically induced
Cardiomyopathy, Dilated - physiopathology
Disease Progression
Dose-Response Relationship, Drug
Doxorubicin - administration & dosage
Doxorubicin - adverse effects
Doxorubicin - therapeutic use
Female
Hematologic Neoplasms - drug therapy
Humans
Male
Myocardial Contraction - drug effects
Risk Factors
Ventricular Remodeling - drug effects
Ventricular Remodeling - physiology
title The feature of cardial remodeling process at Doxorubicin chemotherapy and idiopathic dilatative cardiomyopathy
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