Posicionamento Brasileiro sobre o Uso da Multimodalidade de Imagens na Cardio-Oncologia – 2021

Melo, Marcelo Dantas Tavares de; Paiva, Marcelo Goulart; Santos, Manuel Lopes dos; Rochitte, Carlos Eduardo; Moreira, Valéria de Melo; Saleh, Mohamed Hassan; Brandão, Simone Cristina Soares; Gallafrio, Claudia Cosentino; Goldwasser, Daniel; Gripp, Eliza de Almeida; Piveta, Rafael Bonafim; Silva, Tonnison Oliveira; Santo, Thais Harada Campos Espirito; Ferreira, Waldinai Pereira; Salemi, Vera Maria Cury; Cauduro, Sanderson; Barberato, Sílvio Henrique; Lopes, Heloisa; Pena, José Luiz Barros; Rached, Heron Rhydan Saad; Miglioranza, Marcelo Haertel; Pinheiro, Aurélio; Vrandecic, Bárbara Athayde Linhares Martins; Cruz, Cecília Beatriz Bittencourt Viana; Nomura, César Higa; Cerbino, Fernanda Mello Erthal; Costa, Isabela Bispo Santos da Silva; Filho, Otavio Rizzi Coelho; Carneiro, Adriano Camargo de Castro; Burgos, Úrsula Maria Moreira Costa; Fernandes, Juliano Lara; Uellendahl, Marly; Calado, Eveline Barros; Senra, Tiago; Assunção, Bruna Leal; Freire, Cláudia Maria Vilas; Martins, Cristiane Nunes; Sawamura, Karen Saori Shiraishi; Brito, Márcio Miranda; Jardim, Maria Fernanda Silva; Bernardes, Renata Junqueira Moll; Diógenes, Tereza Cristina Pinheiro; Vieira, Lucas de Oliveira; Mesquita, Cláudio Tinoco; Lopes, Rafael Willain; Neto, Elry Medeiros Vieira Segundo; Rigo, Letícia; Marin, Valeska Leite Siqueira; Santos, Marcelo José dos; Grossman, Gabriel Blacher; Quagliato, Priscila Cestari; Alcantara, Mônica Luiza de; Teodoro, José Aldo Ribeiro; Albricker, Ana Cristina Lopes; Barros, Fanilda Souto; Amaral, Salomon Israel do; Porto, Carmen Lucia Lascasas; Barros, Márcio Vinícius Lins; Santos, Simone N.; Cantisano, Armando Luís; Petisco, Ana Cláudia Gomes Pereira; Barbosa, José Eduardo Martins; Veloso, Orlando; Spina, Salvador; Pignatelli, Ricardo H.; Hajjar, L.A.; Filho, Roberto Kalil; Lopes, Marcelo Antônio Cartaxo Queiroga; Vieira, Marcelo Luiz Campos; Almeida, André Luiz Cerqueira de

doi:10.36660/abc.20200266

Arquivos Brasileiros De Cardiologia

2021

DOI: 10.36660/abc.20200266

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Posicionamento Brasileiro sobre o Uso da Multimodalidade de Imagens na Cardio-Oncologia – 2021

Marcelo Dantas Tavares de Melo

Marcelo Goulart Paiva²,

Manuel Lopes dos Santos³

et al.

Abstract: Nota: Estes posicionamentos se prestam a informar e não a substituir o julgamento clínico do médico que, em última análise, deve determinar o tratamento apropriado para seus pacientes.

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Cited by 6 publications

(1 citation statement)

References 259 publications

(351 reference statements)

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“…In addition to the CTX diagnosis, it is important to remember that the identification of a GLS decrease showed prognostic value in retrospective studies. 18…”

mentioning

confidence: 99%

Strain in Monitoring Cancer Therapy-Induced Cardiotoxicity: Where are We After the SUCCOUR Study?

Barberato¹,

Hajjar²

2021

Arq Bras Cardiol: Imagem Cardiovasc

Self Cite

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“…In addition to the CTX diagnosis, it is important to remember that the identification of a GLS decrease showed prognostic value in retrospective studies. 18…”

mentioning

confidence: 99%

Strain in Monitoring Cancer Therapy-Induced Cardiotoxicity: Where are We After the SUCCOUR Study?

Barberato¹,

Hajjar²

2021

Arq Bras Cardiol: Imagem Cardiovasc

Self Cite

View full text Add to dashboard Cite

Right ventricular function during trastuzumab therapy for breast cancer

Mazzutti

Júnior

Costa

et al. 2021

Int J Cardiovasc Imaging

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Echocardiographic strategy for early detection of cardiotoxicity of doxorubicin: a prospective observational study

et al. 2022

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Background Cancer chemotherapy using anthracyclines is associated with cardiotoxicity (CTX), and left ventricular ejection fraction (LVEF) analysis is not sensitive to early cardiotoxic changes. Left ventricular global longitudinal strain (LV GLS) monitoring helps screen subclinical CTX; however, the intervals at which it should be performed remain unclear. We aimed to evaluate the incidence of CTX in women with breast cancer and the associated factors and compare two echocardiographic monitoring strategies using two cutoff points for LV GLS variation. Methods Patients with breast cancer prescribed doxorubicin underwent serial LVEF and LV GLS assessments using two-dimensional echocardiography every 3 weeks for 6 months. Results We included 43 women; none developed a clinical CTX. Considering a relative reduction of LV GLS > 15%, subclinical CTX was present in 12 (27.9%) and six (14%) patients at 3-week and 3-month intervals, respectively (P = 0.28). Additionally, considering a reduction of > 12%, subclinical CTX was present in 17 (39.5%) and 10 (23.3%) patients (P = 0.16), respectively. There were no significant differences in either reference value at 3-week (P = 0.19) and 3-month intervals (P = 0.41). Age ≥ 60 years (P = 0.018) and hypertension (HTN) (P = 0.022) were associated with subclinical CTX in the univariate analysis. Conclusions There was no difference in the incidence of subclinical CTX between the two cutoff points and no benefit in performing echocardiography every 3 weeks compared with quarterly monitoring. Advanced age and HTN were associated with the development of subclinical CTX.

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Posicionamento Brasileiro sobre o Uso da Multimodalidade de Imagens na Cardio-Oncologia – 2021

Abstract: Nota: Estes posicionamentos se prestam a informar e não a substituir o julgamento clínico do médico que, em última análise, deve determinar o tratamento apropriado para seus pacientes.

Cited by 6 publications

References 259 publications

Strain in Monitoring Cancer Therapy-Induced Cardiotoxicity: Where are We After the SUCCOUR Study?

Strain in Monitoring Cancer Therapy-Induced Cardiotoxicity: Where are We After the SUCCOUR Study?

Right ventricular function during trastuzumab therapy for breast cancer

Echocardiographic strategy for early detection of cardiotoxicity of doxorubicin: a prospective observational study

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