PREVENTION OF ANTRACYCLIN ANTIBIOTIC DOXORUBICIN СARDIOTOXICITY: A ROLE OF ACE-INHIBITOR PERINDOPRIL

<p><strong>Aim</strong> – to study how anthracyclines influence on cardiovascular system in patients with lymphomas and whether angiotensin-converting enzyme inhibitor Perindopril is cardioprotective in these patients.</p><p><br /><strong>Subjects and method...

Full description

Bibliographic Details
Main Authors: E. V. Pravdivtseva, N. G. Poteshkina, A. M. Svanadze, D. S. Rilskiy
Format: Article
Language:Russian
Published: ABV-press 2014-07-01
Series:Klinicist
Subjects:
Online Access:http://klinitsist.abvpress.ru/index.php/Klin/article/view/102
_version_ 1828077644118228992
author E. V. Pravdivtseva
N. G. Poteshkina
A. M. Svanadze
D. S. Rilskiy
author_facet E. V. Pravdivtseva
N. G. Poteshkina
A. M. Svanadze
D. S. Rilskiy
author_sort E. V. Pravdivtseva
collection DOAJ
description <p><strong>Aim</strong> – to study how anthracyclines influence on cardiovascular system in patients with lymphomas and whether angiotensin-converting enzyme inhibitor Perindopril is cardioprotective in these patients.</p><p><br /><strong>Subjects and methods</strong>. 26 patients with Hodgkin’s disease and non-Hodgkin’s lymphomas were followed before and after treatment with<br />doxorubicin. 12 of these patients with arterial hypertension received angiotensin-converting enzyme inhibitor Рerindopril, 10 mg/d, during<br />treatment with doxorubicin. Cardiological evaluation was performed before and the next day after chemotherapy. Average dose of Doxorubicin was 34,99 ± 13,23 mg/m2.</p><p><br /><strong>Results.</strong> In patients receiving anthracyclines deceleration time DT increased significantly, a significant reduction in heart rate (HR), cardiac<br />output (CO) and cardiac index (CI) were observed also (рDT = 0,037, pHR = 0,048, рСО = 0,007, рCI = 0,007). In patients simultaneously<br />treated with Perindopril these parameters were not statistically different (рDT = 0,92, pHR = 0,22, рCO = 0,35, рCI = 0,39).</p><p><br /><strong>Conclusion.</strong> Administration of anthracyclines (average dose of Doxorubicin 34,99 ± 13,23 mg/m2) leads to DT of the left ventricle and<br />reduction in HR, CJ and CI. Simultaneous treatment with Perindopril in patients receiving anthracyclines preserves DF and prevents heart hemodynamics abnormalities.</p>
first_indexed 2024-04-11T02:33:50Z
format Article
id doaj.art-c24d37c3533347faa20e90b4e0febeec
institution Directory Open Access Journal
issn 1818-8338
language Russian
last_indexed 2024-04-11T02:33:50Z
publishDate 2014-07-01
publisher ABV-press
record_format Article
series Klinicist
spelling doaj.art-c24d37c3533347faa20e90b4e0febeec2023-01-02T20:44:07ZrusABV-pressKlinicist1818-83382014-07-01535560117PREVENTION OF ANTRACYCLIN ANTIBIOTIC DOXORUBICIN СARDIOTOXICITY: A ROLE OF ACE-INHIBITOR PERINDOPRILE. V. Pravdivtseva0N. G. Poteshkina1A. M. Svanadze2D. S. Rilskiy3The Russian National Research Medical University named after N.I.PirogovThe Russian National Research Medical University named after N.I.PirogovThe Russian National Research Medical University named after N.I.PirogovThe Russian National Research Medical University named after N.I.Pirogov<p><strong>Aim</strong> – to study how anthracyclines influence on cardiovascular system in patients with lymphomas and whether angiotensin-converting enzyme inhibitor Perindopril is cardioprotective in these patients.</p><p><br /><strong>Subjects and methods</strong>. 26 patients with Hodgkin’s disease and non-Hodgkin’s lymphomas were followed before and after treatment with<br />doxorubicin. 12 of these patients with arterial hypertension received angiotensin-converting enzyme inhibitor Рerindopril, 10 mg/d, during<br />treatment with doxorubicin. Cardiological evaluation was performed before and the next day after chemotherapy. Average dose of Doxorubicin was 34,99 ± 13,23 mg/m2.</p><p><br /><strong>Results.</strong> In patients receiving anthracyclines deceleration time DT increased significantly, a significant reduction in heart rate (HR), cardiac<br />output (CO) and cardiac index (CI) were observed also (рDT = 0,037, pHR = 0,048, рСО = 0,007, рCI = 0,007). In patients simultaneously<br />treated with Perindopril these parameters were not statistically different (рDT = 0,92, pHR = 0,22, рCO = 0,35, рCI = 0,39).</p><p><br /><strong>Conclusion.</strong> Administration of anthracyclines (average dose of Doxorubicin 34,99 ± 13,23 mg/m2) leads to DT of the left ventricle and<br />reduction in HR, CJ and CI. Simultaneous treatment with Perindopril in patients receiving anthracyclines preserves DF and prevents heart hemodynamics abnormalities.</p>http://klinitsist.abvpress.ru/index.php/Klin/article/view/102angiotensin-converting enzyme inhibitorantracyclin cardiotoxicitydiastolic disfunctionchemotherapy
spellingShingle E. V. Pravdivtseva
N. G. Poteshkina
A. M. Svanadze
D. S. Rilskiy
PREVENTION OF ANTRACYCLIN ANTIBIOTIC DOXORUBICIN СARDIOTOXICITY: A ROLE OF ACE-INHIBITOR PERINDOPRIL
Klinicist
angiotensin-converting enzyme inhibitor
antracyclin cardiotoxicity
diastolic disfunction
chemotherapy
title PREVENTION OF ANTRACYCLIN ANTIBIOTIC DOXORUBICIN СARDIOTOXICITY: A ROLE OF ACE-INHIBITOR PERINDOPRIL
title_full PREVENTION OF ANTRACYCLIN ANTIBIOTIC DOXORUBICIN СARDIOTOXICITY: A ROLE OF ACE-INHIBITOR PERINDOPRIL
title_fullStr PREVENTION OF ANTRACYCLIN ANTIBIOTIC DOXORUBICIN СARDIOTOXICITY: A ROLE OF ACE-INHIBITOR PERINDOPRIL
title_full_unstemmed PREVENTION OF ANTRACYCLIN ANTIBIOTIC DOXORUBICIN СARDIOTOXICITY: A ROLE OF ACE-INHIBITOR PERINDOPRIL
title_short PREVENTION OF ANTRACYCLIN ANTIBIOTIC DOXORUBICIN СARDIOTOXICITY: A ROLE OF ACE-INHIBITOR PERINDOPRIL
title_sort prevention of antracyclin antibiotic doxorubicin сardiotoxicity a role of ace inhibitor perindopril
topic angiotensin-converting enzyme inhibitor
antracyclin cardiotoxicity
diastolic disfunction
chemotherapy
url http://klinitsist.abvpress.ru/index.php/Klin/article/view/102
work_keys_str_mv AT evpravdivtseva preventionofantracyclinantibioticdoxorubicinsardiotoxicityaroleofaceinhibitorperindopril
AT ngpoteshkina preventionofantracyclinantibioticdoxorubicinsardiotoxicityaroleofaceinhibitorperindopril
AT amsvanadze preventionofantracyclinantibioticdoxorubicinsardiotoxicityaroleofaceinhibitorperindopril
AT dsrilskiy preventionofantracyclinantibioticdoxorubicinsardiotoxicityaroleofaceinhibitorperindopril