title: Serial assessment of myocardial properties using cyclic variation of integrated backscatter in an adriamycin-induced cardiomyopathy rat model.
abstract: Although adriamycin (Doxorubicin) is one of the most effective and useful antineoplastic agents for the treatment of a variety of malignancies, its repeated administration can induce irreversible myocardial damage and resultant heart failure. Currently, no marker to detect early cardiac damage is available. The purpose of this study was to investigate whether an assessment of the acoustic properties of the myocardium could enable the earlier detection of myocardial damage after adriamycin chemotherapy. Forty Wistar rats were treated with adriamycin (2 mg/kg, i.v.) once a week for 2, 4, 6 or 8 weeks consecutively. Left ventricular ejection fraction (LVEF) was calculated using M-mode echocardiography data. The magnitude of cardiac cycle dependent variation of integrated backscatter (CVIB) of the myocardium was measured in the mid segment of the septum and in the posterior wall of the left ventricle, using a real time two dimensional integrated backscatter imaging system. LVEF was significantly lower in the adriamycin-treated 8-week group than in the controls (75+/-9 vs 57+/-8%, p<0.05). Myocyte damage was only seen in the 8-week adriamycin-treated group. However, no significant changes of CVIB were observed between baseline or during follow-up in the ADR or control group. In conclusion, serial assessment of the acoustic properties of the myocardium may not be an optimal tool for the early detection of myocardial damage after doxorubicin chemotherapy in a rat model.
authors.affiliation: Cardiology Division, Yonsei Cardiovascular Hospital, Yonsei University College of Medicine, 134 Shinchon-dong, Seodaemun-gu, Seoul 120-752, Korea. jwha@yumc.yonsei.ac.kr
authors.forename: Jong-Won
authors.initials: JW
authors.lastname: Ha
authors.forename: Seok-Min
authors.initials: SM
authors.lastname: Kang
authors.forename: Wook-Bum
authors.initials: WB
authors.lastname: Pyun
authors.forename: Joo-Yong
authors.initials: JY
authors.lastname: Lee
authors.forename: Mi-Young
authors.initials: MY
authors.lastname: Ahn
authors.forename: Woong-Chul
authors.initials: WC
authors.lastname: Kang
authors.forename: Tae Joo
authors.initials: TJ
authors.lastname: Jeon
authors.forename: Namsik
authors.initials: N
authors.lastname: Chung
authors.forename: Jong-Doo
authors.initials: JD
authors.lastname: Lee
authors.forename: Sang-Ho
authors.initials: SH
authors.lastname: Cho
mesh_terms: D000818:Animals; D000903:Antibiotics, Antineoplastic / Q000633:toxicity*; D009202:Cardiomyopathies / Q000139:chemically induced* / Q000000981:diagnostic imaging*; D004195:Disease Models, Animal; D004317:Doxorubicin / Q000633:toxicity*; D004452:Echocardiography; D008297:Male; D051381:Rats; D017208:Rats, Wistar
chemical_list: D000903:Antibiotics, Antineoplastic; D004317:Doxorubicin
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