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Efficacy and safety of cardiac resynchronization therapy in chemotherapy‐induced cardiomyopathy: A systematic review

Objective The aim of the study was to assess the efficacy of cardiac resynchronization therapy (CRT) in patients with chemotherapy‐induced cardiomyopathy (CIC). Methods With the increasing incidence of CIC, the association of CRT with improvement in clinical outcomes, echocardiographic parameters, a...

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Published in:Annals of noninvasive electrocardiology 2023-09, Vol.28 (5), p.e13070-n/a
Main Authors: Shehram, Muhammad, Khalid, Hiba, Shafique, Hafiz Muhammad, Umer, Bakht, Zafar, Awais, Ullah, Asif, Zaidi, Syed Muhammad Jawad, Basit, Jawad, Mehmoodi, Amin, Malik, Jahanzeb
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container_title Annals of noninvasive electrocardiology
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creator Shehram, Muhammad
Khalid, Hiba
Shafique, Hafiz Muhammad
Umer, Bakht
Zafar, Awais
Ullah, Asif
Zaidi, Syed Muhammad Jawad
Basit, Jawad
Mehmoodi, Amin
Malik, Jahanzeb
description Objective The aim of the study was to assess the efficacy of cardiac resynchronization therapy (CRT) in patients with chemotherapy‐induced cardiomyopathy (CIC). Methods With the increasing incidence of CIC, the association of CRT with improvement in clinical outcomes, echocardiographic parameters, and New York Heart Classification (NYHA) class was assessed through this qualitative systematic review. Results The five studies included a total of 169 patients who underwent CRT after CIC, and of these, 61 (36.1%) patients were males. All studies showed an improvement in left ventricular ejection fraction (LVEF), among other echocardiographic parameters of LV volume. However, these findings are limited by short follow‐up periods, small sample sizes, and the absence of a control group. Conclusion CRT was associated with improvement in all patient parameters with CIC. The five studies included a total of 169 patients who underwent CRT after CIC, which showed an improvement in left ventricular ejection fraction (LVEF), among other echocardiographic parameters of LV volume. However, these findings are limited by short follow‐up periods, small sample sizes, and the absence of a control group.
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Methods With the increasing incidence of CIC, the association of CRT with improvement in clinical outcomes, echocardiographic parameters, and New York Heart Classification (NYHA) class was assessed through this qualitative systematic review. Results The five studies included a total of 169 patients who underwent CRT after CIC, and of these, 61 (36.1%) patients were males. All studies showed an improvement in left ventricular ejection fraction (LVEF), among other echocardiographic parameters of LV volume. However, these findings are limited by short follow‐up periods, small sample sizes, and the absence of a control group. Conclusion CRT was associated with improvement in all patient parameters with CIC. The five studies included a total of 169 patients who underwent CRT after CIC, which showed an improvement in left ventricular ejection fraction (LVEF), among other echocardiographic parameters of LV volume. However, these findings are limited by short follow‐up periods, small sample sizes, and the absence of a control group.</description><identifier>ISSN: 1082-720X</identifier><identifier>EISSN: 1542-474X</identifier><identifier>DOI: 10.1111/anec.13070</identifier><identifier>PMID: 37435629</identifier><language>eng</language><publisher>United States: John Wiley &amp; Sons, Inc</publisher><subject>anthracycline ; Breast cancer ; Cancer therapies ; Cardiomyopathy ; Chemotherapy ; Clinical trials ; Demographics ; diastolic dysfunction ; Effectiveness ; ejection fraction ; Heart ; Heart failure ; Leukemia ; Lymphoma ; Mortality ; Observational studies ; Parameters ; Patients ; Quality of life ; Review ; Sarcoma ; Systematic review ; Ventricle</subject><ispartof>Annals of noninvasive electrocardiology, 2023-09, Vol.28 (5), p.e13070-n/a</ispartof><rights>2023 The Authors. published by Wiley Periodicals LLC.</rights><rights>2023 The Authors. 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subjects anthracycline
Breast cancer
Cancer therapies
Cardiomyopathy
Chemotherapy
Clinical trials
Demographics
diastolic dysfunction
Effectiveness
ejection fraction
Heart
Heart failure
Leukemia
Lymphoma
Mortality
Observational studies
Parameters
Patients
Quality of life
Review
Sarcoma
Systematic review
Ventricle
title Efficacy and safety of cardiac resynchronization therapy in chemotherapy‐induced cardiomyopathy: A systematic review
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