Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc
Journal website http://www.jocmr.org

Review

Volume 1, Number 1, April 2009, pages 8-12


Chemotherapy Induced Cardiomyopathy: Pathogenesis, Monitoring and Management

Table

Table 1. Chemotherapy related cardiac dysfunction
 
TYPE I
e.g. Doxorubicin
TYPE II
e.g. Trastuzumab
Cellular death
Damage starts with first
administration
Cellular dysfunction
Biopsy changesNo typical biopsy changes
Cumulative dose relatedNot cumulative dose related
Permanent damage
(Myocyte death)
Predominately reversible
(Myocyte dysfunction)
Risk factorsRisk factors
  Prior/concurrent radiotherapy  Prior/concurrent anthracycline
  Combination chemotherapy  Paclitaxel
  Age  Age
  Previous cardiac disease  Previous cardiac disease
  Hypertension  Obesity (BMI > 25)