The role of cardiac biomarkers as predictors of trastuzumab cardiotoxicity in patients with breast cancer

Aim: Identification of patient with increased risk of cardiotoxicity would allow not only prevention and early diagnosis of chemotherapy related cardiotoxicity but also administration of optimal dose and duration of chemotherapy. Materials and methods: Fifty-two women with HER2+ breast cancer treate...

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Бібліографічні деталі
Опубліковано в: :Experimental Oncology
Дата:2015
Автори: Ürün, Y., Utkan, G., Yalcin, B., Akbulut, H., Onur, H., Oztuna, D.G., Şenler, F.Ç., Demirkazık, A., İçli, F.
Формат: Стаття
Мова:English
Опубліковано: Інститут експериментальної патології, онкології і радіобіології ім. Р.Є. Кавецького НАН України 2015
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Онлайн доступ:https://nasplib.isofts.kiev.ua/handle/123456789/145446
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Назва журналу:Digital Library of Periodicals of National Academy of Sciences of Ukraine
Цитувати:The role of cardiac biomarkers as predictors of trastuzumab cardiotoxicity in patients with breast cancer / Y. Ürün, G. Utkan, B. Yalcin, H. Akbulut, H. Onur, D. G. Oztuna, F.Ç. Şenler, A. Demirkazık, F. İçli // Experimental Oncology. — 2015. — Т. 37, № 1. — С. 53-57. — Бібліогр.: 39 назв. — англ.

Репозитарії

Digital Library of Periodicals of National Academy of Sciences of Ukraine
id nasplib_isofts_kiev_ua-123456789-145446
record_format dspace
spelling Ürün, Y.
Utkan, G.
Yalcin, B.
Akbulut, H.
Onur, H.
Oztuna, D.G.
Şenler, F.Ç.
Demirkazık, A.
İçli, F.
2019-01-21T21:19:51Z
2019-01-21T21:19:51Z
2015
The role of cardiac biomarkers as predictors of trastuzumab cardiotoxicity in patients with breast cancer / Y. Ürün, G. Utkan, B. Yalcin, H. Akbulut, H. Onur, D. G. Oztuna, F.Ç. Şenler, A. Demirkazık, F. İçli // Experimental Oncology. — 2015. — Т. 37, № 1. — С. 53-57. — Бібліогр.: 39 назв. — англ.
1812-9269
https://nasplib.isofts.kiev.ua/handle/123456789/145446
Aim: Identification of patient with increased risk of cardiotoxicity would allow not only prevention and early diagnosis of chemotherapy related cardiotoxicity but also administration of optimal dose and duration of chemotherapy. Materials and methods: Fifty-two women with HER2+ breast cancer treated with trastuzumab were included in this study. Patients were prospectively followed with routine cardiac evaluation. Before and after administration of trastuzumab blood samples for NT-proBNP were also taken. Results: The median age was 48.5 year (range: 26–74). Hypertension and obesity were two most common co-morbidities. The median duration application of trastuzumab was 52 weeks. During median 14.5 (3–33) months follow-up cardiac adverse events occurred in 5 (9.6%) patients and 2 out of 5 was grade III–IV heart failure. Both patients had preserved left ventricular ejection fraction and no symptom of heart failure before trastuzumab but older than 65 years old and had diabetes mellitus and obesity. High level of NT-proBNP (> 300 ng/ml) was observed in both patients and heart failure recovery was not observed. There was statistically significant difference regarding body mass index (p = 0.004) and diabetes mellitus (p = 0.002) between patients with and without cardiotoxicity. Conclusion: Although, cardiac biomarkers still cannot replace routine cardiac monitoring, natriuretic peptides may provide additional tool for detection of patients with high risk of cardiotoxicity and early detection of cardiotoxicity. Key Words: breast cancer, trastuzumab, heart failure, left ventricular dysfunction, natriuretic peptides.
The authors would like to thank all patients for participation of this study.
en
Інститут експериментальної патології, онкології і радіобіології ім. Р.Є. Кавецького НАН України
Experimental Oncology
Original contributions
The role of cardiac biomarkers as predictors of trastuzumab cardiotoxicity in patients with breast cancer
Article
published earlier
institution Digital Library of Periodicals of National Academy of Sciences of Ukraine
collection DSpace DC
title The role of cardiac biomarkers as predictors of trastuzumab cardiotoxicity in patients with breast cancer
spellingShingle The role of cardiac biomarkers as predictors of trastuzumab cardiotoxicity in patients with breast cancer
Ürün, Y.
Utkan, G.
Yalcin, B.
Akbulut, H.
Onur, H.
Oztuna, D.G.
Şenler, F.Ç.
Demirkazık, A.
İçli, F.
Original contributions
title_short The role of cardiac biomarkers as predictors of trastuzumab cardiotoxicity in patients with breast cancer
title_full The role of cardiac biomarkers as predictors of trastuzumab cardiotoxicity in patients with breast cancer
title_fullStr The role of cardiac biomarkers as predictors of trastuzumab cardiotoxicity in patients with breast cancer
title_full_unstemmed The role of cardiac biomarkers as predictors of trastuzumab cardiotoxicity in patients with breast cancer
title_sort role of cardiac biomarkers as predictors of trastuzumab cardiotoxicity in patients with breast cancer
author Ürün, Y.
Utkan, G.
Yalcin, B.
Akbulut, H.
Onur, H.
Oztuna, D.G.
Şenler, F.Ç.
Demirkazık, A.
İçli, F.
author_facet Ürün, Y.
Utkan, G.
Yalcin, B.
Akbulut, H.
Onur, H.
Oztuna, D.G.
Şenler, F.Ç.
Demirkazık, A.
İçli, F.
topic Original contributions
topic_facet Original contributions
publishDate 2015
language English
container_title Experimental Oncology
publisher Інститут експериментальної патології, онкології і радіобіології ім. Р.Є. Кавецького НАН України
format Article
description Aim: Identification of patient with increased risk of cardiotoxicity would allow not only prevention and early diagnosis of chemotherapy related cardiotoxicity but also administration of optimal dose and duration of chemotherapy. Materials and methods: Fifty-two women with HER2+ breast cancer treated with trastuzumab were included in this study. Patients were prospectively followed with routine cardiac evaluation. Before and after administration of trastuzumab blood samples for NT-proBNP were also taken. Results: The median age was 48.5 year (range: 26–74). Hypertension and obesity were two most common co-morbidities. The median duration application of trastuzumab was 52 weeks. During median 14.5 (3–33) months follow-up cardiac adverse events occurred in 5 (9.6%) patients and 2 out of 5 was grade III–IV heart failure. Both patients had preserved left ventricular ejection fraction and no symptom of heart failure before trastuzumab but older than 65 years old and had diabetes mellitus and obesity. High level of NT-proBNP (> 300 ng/ml) was observed in both patients and heart failure recovery was not observed. There was statistically significant difference regarding body mass index (p = 0.004) and diabetes mellitus (p = 0.002) between patients with and without cardiotoxicity. Conclusion: Although, cardiac biomarkers still cannot replace routine cardiac monitoring, natriuretic peptides may provide additional tool for detection of patients with high risk of cardiotoxicity and early detection of cardiotoxicity. Key Words: breast cancer, trastuzumab, heart failure, left ventricular dysfunction, natriuretic peptides.
issn 1812-9269
url https://nasplib.isofts.kiev.ua/handle/123456789/145446
citation_txt The role of cardiac biomarkers as predictors of trastuzumab cardiotoxicity in patients with breast cancer / Y. Ürün, G. Utkan, B. Yalcin, H. Akbulut, H. Onur, D. G. Oztuna, F.Ç. Şenler, A. Demirkazık, F. İçli // Experimental Oncology. — 2015. — Т. 37, № 1. — С. 53-57. — Бібліогр.: 39 назв. — англ.
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