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. 2021 Dec 31;43:101251. doi: 10.1016/j.eclinm.2021.101251

Table 3.

Details on the cardiovascular events and cardiologic treatments of the CVE group.

Patient First LVEF (%) Last LVEF (%) Lowest LVEF (%) Chemotherapy administered before lower LVEF or CVE onset CVE manifestation Details on cardiotoxicity Onset of CVE Cardiac treatment
Patient 1 73 50 48 MTX+VCR, VP16, HD-Cyclophosphamide, Carboplatin Asymptomatic LV dysfunction BNP elevation, abnormalities of ventricular repolarization at EKG hypokinesia of the interventricular septum, Acute Diuretics, β-blockers, inotropes
Patient 2 70 62 48 MTX+VCR, VP16 Symptomatic LV disfunction Rest dyspnea, tachycardia, BNP elevation, prolonged QTc interval at EKG, hypokinesia of the interventricular septum, mild pericardial effusion, mild mitral and tricuspid valve regurgitation Acute Diuretics, β-blockers, ACE inhibitors
Patient 3 73 62 45 MTX+VCR, VP16, HD-Cyclophosphamide, Carboplatin, Thiotepa Asymptomatic LV dysfunction BNP elevation, reduced QRS voltages in all EKG leads, increased left ventricular volume, mild mitral and tricuspid valve regurgitation Chronic Diuretics, β-blockers, inotropes
Patient 4 67 68 66 MTX+VCR, VP16 Arterial hypertension None Acute ACE inhibitors
Patient 5 Not Available 62 62 MTX+VCR, VP16, HD-Cyclophosphamide, Carboplatin, Thiotepa Ectopic atrial tachycardia Prolonged QTc interval at EKG Chronic β-blockers
Patient 6 70 75 58 MTX+VCR, VP16, Cyclophosphamide, Carboplatin, Thiotepa, Temozolomide Hypokinesia of the interventricular septum with dyspnea and BNP elevation Arterial hypertension, acute prerenal renal failure, mild pericardial effusion, mild aortic, mitral and tricuspid valves regurgitation Chronic Diuretics, ACE inhibitors

List of abbreviations: ACE, angiotensin converting enzyme; BNP, brain natriuretic peptide; CVE, cardiovascular events; EKG, electrocardiogram; HD, high dose; LV, left ventricular; LVEF, left ventricular ejection fraction; MTX, methotrexate; VCR, vincristine; VP16, etoposide.