Table 4.
CMR Results in Survivors Who Received Low-Dose (< 150 mg/m2) or High-Dose (> 350 mg/m2) Anthracyclines, RT Only, or RT Plus Anthracyclines Among Patients Previously Undiagnosed With Cardiotoxicity
| Variable | No. of Evaluable Patients | Median | Range | Mean | SD | Expected Mean* | Prevalence Beyond 2 SD of Normal |
|
|---|---|---|---|---|---|---|---|---|
| No. | % | |||||||
| Ejection fraction (%) | ||||||||
| ≤ 150 mg/m2 anthracycline, no RT | 45 | 58.5 | 50.6-67.0 | 58.1 | 4.1 | 63.9 | 12 | 27 |
| > 350 mg/m2 anthracycline, no RT | 26 | 55.9 | 42.4-66.1 | 55.5 | 5.7 | 64.1 | 9 | 35 |
| RT only | 18 | 57.2 | 40.8-68.5 | 55.3 | 7.1 | 64.1 | 6 | 33 |
| RT plus anthracycline | 19 | 55.1 | 41.3-65.5 | 54.5 | 5.5 | 64.1 | 8 | 42 |
| Total | 108 | 57.2 | 40.8-68.5 | 56.3 | 5.5 | 64.0 | 35 | 32 |
| End-diastolic volume/body-surface area (mL/m2) | ||||||||
| ≤ 150 mg/m2 anthracycline, no RT | 45 | 67.9 | 34.7-100.7 | 66.0 | 14.3 | 83.0 | 0 | 0 |
| > 350 mg/m2 anthracycline, no RT | 26 | 80.4 | 53.5-102.5 | 77.6 | 13.5 | 79.9 | 1 | 4 |
| RT only | 18 | 62.8 | 43.9-88.0 | 63.7 | 11.3 | 78.8 | 0 | 0 |
| RT plus anthracycline | 19 | 70.4 | 52.6-86.9 | 68.7 | 8.74 | 80.7 | 0 | 0 |
| Total | 108 | 70.2 | 34.7-102.5 | 69.7 | 13.5 | 81.2 | 1 | 1 |
| Stroke volume, mL | ||||||||
| ≤ 150 mg/m2 anthracycline, no RT | 45 | 75.1 | 40.5-121.1 | 77.5 | 19.2 | 96.6 | 13 | 29 |
| > 350 mg/m2 anthracycline, no RT | 26 | 85.1 | 45.6-116.7 | 81.5 | 16.8 | 95.3 | 4 | 15 |
| RT only | 18 | 69.0 | 32.6-105.4 | 67.8 | 16.1 | 96.6 | 6 | 33 |
| RT plus anthracycline | 19 | 70.6 | 44.4-113.1 | 73.1 | 16.1 | 95.3 | 6 | 32 |
| Total | 108 | 74.1 | 32.6-121.1 | 76.06 | 18.0 | 96.1 | 29 | 27 |
| Cardiac mass/body-surface area (g/m2) | ||||||||
| ≤ 150 mg/m2 anthracycline, no RT | 45 | 41.2 | 29.3-61.9 | 42.6 | 8.1 | 55.5 | 25 | 56 |
| > 350 mg/m2 anthracycline, no RT | 26 | 45.7 | 32.8-73.3 | 46.2 | 9.1 | 59.8 | 11 | 43 |
| RT only | 18 | 44.6 | 32.4-68.9 | 45.0 | 10.3 | 61.4 | 12 | 67 |
| RT plus anthracycline | 19 | 43.4 | 34.4-57.6 | 45.5 | 6.5 | 58.6 | 4 | 21 |
| Total | 108 | 43.5 | 29.3-73.3 | 44.4 | 8.5 | 58.0 | 52 | 48 |
Abbreviations: CMR, cardiac magnetic resonance [imaging]; RT, radiotherapy; SD, standard deviation.
Based on normative, age- and sex-stratified CMR data.