Table 6.
The Cox regression analysis to identify the predictors of mortality in the patients with cancer therapy-related cardiomyopathy.
Predictors of mortality | ||||||
---|---|---|---|---|---|---|
Univariate | Multivariate | |||||
HR | CI 95% | p -value | HR | CI 95% | p -value | |
Age (1 year) | 1.01 | 0.98–1.03 | 0.69 | 1.01 | 0.98–1.05 | 0.482 |
Female sex | 1.24 | 0.54–2.84 | 0.62 | |||
No smoking history | 1.03 | 0.42–0.25 | 0.96 | |||
Arterial hypertension | 1.00 | 0.35–2.88 | 0.99 | |||
Dyslipidemia | 5.58 | 0.76–40.78 | 0.09 | 5.73 | 0.78–42.0 | 0.09 |
Diabetes | 1.12 | 0.15–8.32 | 0.92 | |||
BMI (1 kg/m2) | 0.88 | 0.63–1.22 | 0.44 | |||
Baseline LVEF (1%) | 0.97 | 0.90–1.03 | 0.31 | |||
LVEF at the time of diagnosis of CTRCD (1%) | 0.94 | 0.91–0.97 | 0.001 | 0.94 | 0.91–0.97 | 0.0001 |
Trastuzumab treatment | 1.83 | 0.84–3.98 | 0.14 | 2.25 | 1.02–4.96 | 0.045 |
Anthracyclines treatment | 1.88 | 0.95–3.70 | 0.07 | 1.56 | 0.78–3.12 | 0.212 |
Thoracic radiotherapy | 1.37 | 0.70–2.67 | 0.35 | |||
HF admission at diagnosis | 1.64 | 0.77–3.51 | 0.20 | |||
Cardiac specific treatment | 0.75 | 0.29–1.99 | 0.56 | |||
Beta-blocker treatment | 0.79 | 0.38–1.63 | 0.52 | |||
Carvedilol treatment | 0.43 | 0.05–3.49 | 0.43 | |||
ACE-I treatment | 1.58 | 0.70–3.60 | 0.27 | |||
ARB treatment | 0.21 | 0.03–1.55 | 0.13 | |||
MRA treatment | 1.95 | 0.83–4.59 | 0.13 | |||
Time from starting chemotherapy to dysfunction (1 month) | 1.00 | 0.99–1.01 | 0.72 | |||
LVEF recovery during follow-up | 1.33 | 0.54–1.33 | 0.53 | |||
HF admission during follow-up | 1.09 | 0.32–3.73 | 0.89 |
ACE-I, angiotensin-converting-enzyme inhibitor; ARB, angiotensin II receptor blockers; BMI, body mass index; CI, confidence interval; CTRCD, cancer therapy-related cardiac dysfunction; CV, cardiovascular; HF, heart failure; HR, hazard ratio; LVEF, left ventricular ejection fraction; MRA, mineralocorticoid receptor antagonist.
Cardiac-specific treatment meant to receive at least ACE-I/ARB after CTRCD diagnosis. Bold means statistically significant (p <0.05).