[Evaluation of ventricular function in patients treated with mitoxantrone and 4'-epidoxorubicin]

Arch Inst Cardiol Mex. 1989 Nov-Dec;59(6):615-8.
[Article in Spanish]

Abstract

Serial assessment of ventricular function by means of radionuclide angiography was performed in previously untreated patients with lymphoproliferative diseases who received either 4'epidoxorubicin or mitoxantrone for longer than 6 months. No changes were observed in left ventricular function in patients received mitoxantrone at doses ranged 90 to 165 mg (mean 113 mg). Three patients (7%) in 4'epidoxorubicin group showed less than or equal to 10% drop in left ventricular ejection, but without clinical manifestations. The doses in this group were 420 to 810 mg (mean 610 mg). We felt that patients without high-risk factors (radiotherapy to mediastinum or previously anthracycline therapy) could be treated with high doses of both drugs and that radionuclide angiography is a useful method for monitoring cardiotoxicity of antineoplastic drugs.

MeSH terms

  • Cardiomyopathies / chemically induced
  • Cardiomyopathies / diagnostic imaging
  • Cardiomyopathies / physiopathology
  • Epirubicin / adverse effects*
  • Epirubicin / pharmacology
  • Humans
  • Lymphoma / drug therapy
  • Mitoxantrone / adverse effects*
  • Mitoxantrone / pharmacology
  • Radionuclide Imaging
  • Stroke Volume / drug effects*

Substances

  • Epirubicin
  • Mitoxantrone