“…Those with pre-cachexia and cachexia had the most cardiac findings such as high-grade premature ventricular contractions (PVCs), hypertension and either new or progressive chest pain secondary to coronary artery disease. 19 Melatonin Endogenous melatonin excretion was greatly reduced in patients with cancer and cancer-associated cachexia, who developed cardiac dysfunction. 19 The decrease in melatonin production, measured by urine 6-sulfatoxymelatonin (aMT6s), 19 became more pronounced (P < 0.05) in pre-cachectic and cachectic subjects.…”