Efficacy and safety of cardiac resynchronization therapy in chemotherapy‐induced cardiomyopathy: A systematic review

Abstract Objective The aim of the study was to assess the efficacy of cardiac resynchronization therapy (CRT) in patients with chemotherapy‐induced cardiomyopathy (CIC). Methods With the increasing incidence of CIC, the association of CRT with improvement in clinical outcomes, echocardiographic para...

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Main Authors: Muhammad Shehram, Hiba Khalid, Hafiz Muhammad Shafique, Bakht Umer, Awais Zafar, Asif Ullah, Syed Muhammad Jawad Zaidi, Jawad Basit, Amin Mehmoodi, Jahanzeb Malik
Format: Article
Language:English
Published: Wiley 2023-09-01
Series:Annals of Noninvasive Electrocardiology
Subjects:
Online Access:https://doi.org/10.1111/anec.13070
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author Muhammad Shehram
Hiba Khalid
Hafiz Muhammad Shafique
Bakht Umer
Awais Zafar
Asif Ullah
Syed Muhammad Jawad Zaidi
Jawad Basit
Amin Mehmoodi
Jahanzeb Malik
author_facet Muhammad Shehram
Hiba Khalid
Hafiz Muhammad Shafique
Bakht Umer
Awais Zafar
Asif Ullah
Syed Muhammad Jawad Zaidi
Jawad Basit
Amin Mehmoodi
Jahanzeb Malik
author_sort Muhammad Shehram
collection DOAJ
description Abstract Objective The aim of the study was to assess the efficacy of cardiac resynchronization therapy (CRT) in patients with chemotherapy‐induced cardiomyopathy (CIC). Methods With the increasing incidence of CIC, the association of CRT with improvement in clinical outcomes, echocardiographic parameters, and New York Heart Classification (NYHA) class was assessed through this qualitative systematic review. Results The five studies included a total of 169 patients who underwent CRT after CIC, and of these, 61 (36.1%) patients were males. All studies showed an improvement in left ventricular ejection fraction (LVEF), among other echocardiographic parameters of LV volume. However, these findings are limited by short follow‐up periods, small sample sizes, and the absence of a control group. Conclusion CRT was associated with improvement in all patient parameters with CIC.
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spelling doaj.art-ac70d436c4ef4fd68143f04a643f97222023-09-04T07:18:39ZengWileyAnnals of Noninvasive Electrocardiology1082-720X1542-474X2023-09-01285n/an/a10.1111/anec.13070Efficacy and safety of cardiac resynchronization therapy in chemotherapy‐induced cardiomyopathy: A systematic reviewMuhammad Shehram0Hiba Khalid1Hafiz Muhammad Shafique2Bakht Umer3Awais Zafar4Asif Ullah5Syed Muhammad Jawad Zaidi6Jawad Basit7Amin Mehmoodi8Jahanzeb Malik9Department of Cardiology Mufti Mehmood Memorial Teaching Hospital DI Khan PakistanDepartment of Dermatology Benazir Bhutto Hospital Rawalpindi PakistanDepartment of Interventional Cardiology Armed Forces Institute of Cardiology Rawalpindi PakistanDepartment of Interventional Cardiology Armed Forces Institute of Cardiology Rawalpindi PakistanDepartment of Medicine Sahiwal Medical College Sahiwal PakistanDepartment of Cardiology Khyber Medical University Institute of Medical Sciences Kohat PakistanDepartment of Cardiovascular Medicine Cardiovascular Analytics Group Canterbury UKDepartment of Cardiovascular Medicine Cardiovascular Analytics Group Canterbury UKDepartment of Medicine Ibn e Seen Hospital Kabul AfghanistanDepartment of Cardiovascular Medicine Cardiovascular Analytics Group Canterbury UKAbstract Objective The aim of the study was to assess the efficacy of cardiac resynchronization therapy (CRT) in patients with chemotherapy‐induced cardiomyopathy (CIC). Methods With the increasing incidence of CIC, the association of CRT with improvement in clinical outcomes, echocardiographic parameters, and New York Heart Classification (NYHA) class was assessed through this qualitative systematic review. Results The five studies included a total of 169 patients who underwent CRT after CIC, and of these, 61 (36.1%) patients were males. All studies showed an improvement in left ventricular ejection fraction (LVEF), among other echocardiographic parameters of LV volume. However, these findings are limited by short follow‐up periods, small sample sizes, and the absence of a control group. Conclusion CRT was associated with improvement in all patient parameters with CIC.https://doi.org/10.1111/anec.13070anthracyclinediastolic dysfunctionejection fractionheart failure
spellingShingle Muhammad Shehram
Hiba Khalid
Hafiz Muhammad Shafique
Bakht Umer
Awais Zafar
Asif Ullah
Syed Muhammad Jawad Zaidi
Jawad Basit
Amin Mehmoodi
Jahanzeb Malik
Efficacy and safety of cardiac resynchronization therapy in chemotherapy‐induced cardiomyopathy: A systematic review
Annals of Noninvasive Electrocardiology
anthracycline
diastolic dysfunction
ejection fraction
heart failure
title Efficacy and safety of cardiac resynchronization therapy in chemotherapy‐induced cardiomyopathy: A systematic review
title_full Efficacy and safety of cardiac resynchronization therapy in chemotherapy‐induced cardiomyopathy: A systematic review
title_fullStr Efficacy and safety of cardiac resynchronization therapy in chemotherapy‐induced cardiomyopathy: A systematic review
title_full_unstemmed Efficacy and safety of cardiac resynchronization therapy in chemotherapy‐induced cardiomyopathy: A systematic review
title_short Efficacy and safety of cardiac resynchronization therapy in chemotherapy‐induced cardiomyopathy: A systematic review
title_sort efficacy and safety of cardiac resynchronization therapy in chemotherapy induced cardiomyopathy a systematic review
topic anthracycline
diastolic dysfunction
ejection fraction
heart failure
url https://doi.org/10.1111/anec.13070
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