Evaluation of left ventricular function in patients with Non-Hodgkin’s lymphoma undergoing chemotherapy
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BURSACOVSCHI, Daniela, REVENCO, Valeriu, ROBU, Maria. Evaluation of left ventricular function in patients with Non-Hodgkin’s lymphoma undergoing chemotherapy. In: Perspectives of the Balkan medicine in the post COVID-19 era: The 37th Balkan Medical Week. The 8th congress on urology, dialysis and kidney transplant from the Republic of Moldova “New Horizons in Urology”, Ed. 37, 7-9 iunie 2023, Chişinău. București: Balkan Medical Union, 2023, Ediția 37, p. 40. ISSN Print: ISSN 1584-9244 ISSN-L 1584-9244 Online: ISSN 2558-815X.
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Perspectives of the Balkan medicine in the post COVID-19 era
Ediția 37, 2023
Congresul "Perspectives of the Balkan medicine in the post COVID-19 era"
37, Chişinău, Moldova, 7-9 iunie 2023

Evaluation of left ventricular function in patients with Non-Hodgkin’s lymphoma undergoing chemotherapy


Pag. 40-40

Bursacovschi Daniela1, Revenco Valeriu2, Robu Maria2
 
1 Institute of Cardiology,
2 ”Nicolae Testemițanu” State University of Medicine and Pharmacy
 
 
Disponibil în IBN: 17 decembrie 2023


Rezumat

Introduction. Non-Hodgkin's lymphoma is the most common hematologic malignancy with an increased risk for cardiovascular complications due to the applied treatment. Echocardiographic evaluation could lead to early detection of cardiotoxicity. Materials and methods. A sample of 83 consecutive patients who underwent chemotherapy (CTx), excluding those who received chemo- or radiotherapeutic treatment, with known coronary/myocardial diseases, moderate or severe valvulopathies. Echocardiography was performed at baseline, and at 6-month follow-up. Cancer therapy-related cardiac dysfunction (CTRCD) was defined as new left ventricular ejection fraction (LVEF) reduction by ≥10 percentage points to an LVEF of 40–49%. Results. LVEF decreased from 63.2 ± 4.5 % to 57.5 ± 4.7 % during follow up (p <0.001), also significantly increased the left ventricular end-diastolic diameter from 47.2 ± 5.2 mm to 54.3 ± 5.3 mm (p <0.001), other parameters as the left-ventricular myocardial performance index and systolic velocity of mitral septal annulus did not achieve statistically significant differences (p = 0.560 and p = 0.430 respectively). E/e’ was 10.3 ± 4.3 increased to 11.4 ± 5.6 (p=0.233), left atrial volume index increased from 29.4 ± 5.6 ml/m2 to 36.2 ± 4.3 ml/m2 (p < 0.001), the ratio of color M-mode flow propagation velocity to early diastolic trans – mitral flow velocity (E/ Vp) increased at 6-month follow-up compared with baseline (1.6 ± 0.3 and 1.3 ± 0.4, p < 0.001, respectively). CTRCD was assessed in 9 patients (9.63%). Conclusion. CTx has an impact on left ventricular function and the parameters above could be used for predicting CTRCD.