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. 2019 Feb;5(1):31–36. doi: 10.15420/cfr.2018.25.1

Table 1: Summary of Angiotensin-converting Enzyme Inhibitor and/or Beta-blocker in the Primary Prevention of Cardiotoxicity Before Chemotherapy.

Author and year Medication Chemotherapy Patients (n) Follow-up (months) Results
Kalay et al. 2006[52] Carvedilol versus placebo Anthracycline 50 6 Placebo: LVEF Δ −16%
Carvedilol: LVEF Δ −1.5%
Georgakapoulos et al. 2010[53] Metoprolol versus enalapril versus placebo Anthracycline 125 31 Metoprolol: LVEF Δ −3.7%*
Enalapril: LVEF Δ −2%
Placebo: LVEF Δ −1.4%
Bosch et al. 2013[40] Enalapril + carvedilol versus placebo Anthracycline 90 6 ACEI + BB: LVEF Δ 0%
Placebo: LVEF Δ −11%
Akpek et al. 2014[42] Spironolactone versus placebo Anthracycline 83 6 Spironolactone: LVEF Δ −1.5%*
Placebo: LVEF Δ −11%*
Gulati et al. 2016[41] Candesartan versus metoprolol versus placebo Anthracycline 130 3-12 Candesartan: LVEF Δ −0.8%*
Metoprolol: LVEF Δ −0.6%
Placebo: LVEF −2.6%
Boekhout et al. 2016[44] Candesartan versus placebo Trastuzumab 206 24 Candesartan : LVEF Δ −0%
Placebo : LVEF Δ −1.5%
Pituskin et al. 2017[45] Perindopril versus bisoprolol versus placebo Trastuzumab 94 12 Perindopril: LVEF Δ −3%
Bisoprolol: LVEF Δ −1%*
Placebo: LVEF Δ −5%
No effect on remodelling
Avila et al. 2018[43] Carvedilol versus placebo Anthracycline 200 6 Carvedilol : LVEF Δ −1.4%
Placebo : LVEF Δ −2%

*p<0.05. Δ: change from baseline LVEF; ACEI = angiotensin-converting enzyme inhibitor; BB = beta-blocker; LVEF = left ventricular ejection fraction.