Table 2.
Selected studies with significance for heart condition post radiation treatment.
Author-year | Tissue/neoplasm | Average dose to heart (Gy) (mean, range) | Heart studies (endpoints) | Sample size |
---|---|---|---|---|
Cohn et al. (6) | Hodgkin's, breast, cervix, esophagus | 1.5–9 | Pericardial effusion/Cardiac Damage | 21 |
Brosius et al. (21) | Hodgkin's | 3–8.8 | Thickened pericardia, interstitial myocardial fibrosis, fibrous thickening of mural and valvular endocardium | 16 |
Applefeld and Wiernik (22) | Hodgkin's thorax | 3–4 | Constrictive or occult constrictive pericarditis, abnormal hemodynamic response, coronary artery disease, left ventricular dysfunction | 48 |
Orzan et al. (23) | Hodgkin's, lymphoma,breast, seminoma | 45–122 | Aortic stenosis, regurgitation, pericardial effusion, constrictive pericarditis, mitral/tricuspid regurgitation, myocardial infarction, pericardial effusion | 15 |
Veinot and Edwards (24) | Hodgkin's thorax | 1.3–4 | Pericardial fibrosis, constrictive pericarditis, endocardial fibrosis, and valvular dysfunction, non-ischemic myocardial fibrosis, obstructive coronary artery disease with myocardial ischemia, damage to the great vessels and conduction system dysfunction | 27 |
Darby et al. (12) | Breast | 4.9 (0.03–27.72) | Myocardial infarction, coronary revascularization, ischemic heart disease | 2,168 (936 cases, 1,205 control) |
Erven et al. (25) | Breast/chest wall | 5 | Decrease in cardiac strain and strain rate | 75 |