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ECHO 2013 / Cancer Treatment Related Cardiotoxicity

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Gaps in Knowledge (3)

Q: With prophylactic heart failure therapy, can cardiotoxicity be prevented?

A: ACE Inhibitors and carvedilol have been shown to reduce anthracycline induced cardiotoxicity in selected population.

Chemoprevention: Ongoing trials in HER2+ Breast Cancer

Thank You

Gaps in Knowledge (4)

Q: What are the long-term and late cardiac effects of HER2 targeted agents in breast cancer survivors?

A: Uncertain….

 

NSABP B-31:

 

 

Population-based observational

 

 

cardiac death or CHF 4.0%

 

 

study : CM or CHF 20%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tissue Doppler

S’ = 7.7 cm/sec

S’ = 5.7 cm/sec

E’ = 9.6 cm/sec

E’ = 4.6 cm/sec