Evidence map›Paper›PMID 38204211›Full record

ArticleCancer medicine2024

Anthracycline-induced cardiotoxicity on regional myocardial work and left ventricular mechanical dispersion in adolescents and young adults in post-lymphoma remission.

Mohamed Jaber, Alexandre Armand, Emmanuelle Rochette, Severine Monzy, Victoria Greze, Justyna Kanold, Etienne Merlin, Justine Paysal, Stéphane Nottin

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.6field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Mohamed JaberCHU Clermont-Ferrand, Pédiatrie Générale, Clermont-Ferrand, France.ORCID 0009-0003-6945-5943
Alexandre ArmandCHU de Clermont-Ferrand, Service Hématologie Oncologie Pédiatrique, Clermont-Ferrand, France.
Emmanuelle RochetteCHU Clermont-Ferrand, Pédiatrie Générale, Clermont-Ferrand, France.
Severine MonzyCardiologue libéral, Pôle Santé République, Clermont-Ferrand, France.
Victoria GrezeCHU de Clermont-Ferrand, Service Hématologie Oncologie Pédiatrique, Clermont-Ferrand, France.
Justyna KanoldCHU de Clermont-Ferrand, Service Hématologie Oncologie Pédiatrique, Clermont-Ferrand, France.
Etienne MerlinCHU Clermont-Ferrand, Pédiatrie Générale, Clermont-Ferrand, France.
Justine PaysalCHU de Clermont-Ferrand, Service Hématologie Oncologie Pédiatrique, Clermont-Ferrand, France.
Stéphane NottinLaboratory of Cardiovascular Adaptations to Exercise, Avignon, France.
Centre Hospitalier Universitaire de Clermont-Ferrand · FRInserm · FRLaboratoire Informatique d'Avignon · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMyocardial work (MW) is a new echocardiographic tool with a high sensitivity to detect early and subtle alterations of myocardial function. We aimed to evaluate the late effects of anthracyclines by assessing the global and segmental MW and intraventricular mechanical dispersion from speckle tracking echocardiography in childhood lymphoma survivors (CLS).

methodsThirty-one young adults including CLS and age-matched healthy controls were enrolled. All underwent echocardiography including an evaluation of left ventricular (LV) morphology and regional function. We assessed LV longitudinal (differentiating sub-endocardial and sub-epicardial layers), circumferential strains and twist, global and regional MW index (MWI). LV mechanical dispersion was assessed from the time dispersion of LV longitudinal strain, from myocardial wasted work (MWW) and myocardial work efficiency (MWE).

resultsThe longitudinal strains both at the level of the sub-endocardium and sub-epicardium were reduced in CLS compared to controls. The global MWI was also decreased (1668 ± 266 vs 1870 ± 264%.mmHg in CLS patients and controls, respectively, p < 0.05), especially on the apical segments. An increase of LV intraventricular mechanical dispersion was observed in CLS. MWW and MWE remained unchanged compared to controls.

conclusionOur results strongly support that cardiac remodeling is observed in CLS, characterized by a decrease in MW and an increase in LV mechanical dispersion. The apex is specifically altered, but its clinical significance remains uncertain. MW as a complement to strain seems interesting in cancer survivors to detect myocardial dysfunction at early stage and adapt their follow-up.

Indexed as

LymphomaPolyketidesAdolescentAnthracyclinesAntibiotics, AntineoplasticCardiotoxicityHeartHumansMyocardiumYoung AdultAnthracyclinesAntibiotics, AntineoplasticPolyketidesanthracyclinechildhood lymphoma survivorsintraventricular mechanical dispersionmyocardial workregional myocardial functionspeckle tracking echocardiography

Identifiers

PMID38204211
PMCPMC10904967
OpenAlexW4390742514

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.