Early myocardial injury induced by anthracycline
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: It is recommended that patients with cancer who meet any of the following criteria should be considered at increased risk for developing cardiac dysfunctionTreatment that includes any of the following: 1. High-dose anthracycline (eg, doxorubicin >= 250 mg/m2, epirubicin >= 600 mg/m2); 2. High-dose radiotherapy (>= 30 Gy) where the heart is in the treatment field; 3. Lower-dose anthracycline (eg, doxorubicin = two risk factors), including smoking, hypertension, diabetes, dyslipidemia, and obesity, during or after completion of therapy; Older age ( >= 60 years) at cancer treatment; Compromised cardiac function (eg, borderline low left ventricular ejection fraction [50% to 55%], history of myocardial infarction, moderate valvular heart disease) at any time before or during treatment; 5. Treatment with lower-dose anthracycline (eg, doxorubicin < 250 mg/m2, epirubicin < 600 mg/m2) followed bytrastuzumab (sequential therapy).
Exclusion criteria
Exclusion criteria: 1. Aged 85 years; 2. Severe cardiac insufficiency (cardiac function grade III or above) detected before admission; 3. Baseline ejection fraction < 50%, systolic blood pressure < 110 mmHg, pulse < 60 beats / min; 4. ACEI / ARB and ß - receptor blockers have been used; 5. ACEI / ARB, ß - blocker is contraindicated; 6. CMR contraindications (non diamagnetic pacemaker, implantable cardioverter defibrillator, claustrophobia, etc.); 7. Poor image quality affects the analyst; 8. Severe liver and kidney dysfunction and other serious life-threatening conditions.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Major Adverse Cardiovascular Events; | — |
Countries
China
Contacts
The First Afilliated Hospital of Chongqing Medical University