title: [Diagnosis of early manifestations of myocardial dysfunction at early stages of antitumor treatment in patients with lymphogranulomatosis and lymphosarcomas].
abstract: OBJECTIVE
  To comparatively assess the capabilities of currently available instrumental studies in the diagnosis of early cardiac performance changes in patients with lymph tumors at different stages of treatment and to study the myocardial histomorphological pattern in relation to the intensity of the therapy performed (as evidenced by sectional studies).
  
  
  METHODS
  44 patients, including 26 with various types of lymphogranulomatosis (LGM) and 18 with lymphosarcomas were examined at different stages of antitumor treatment. Radionuclide equilibrium ventriculography (REVG), echocardiography (EchoCG), and electrocardiography (ECG) were used. Postmortem studies of the myocardial histological pattern were conducted in 20 patients (archive data).
  
  
  RESULTS
  No significant pathological REVG, EchoCG, and ECG changes were found in 10 patients examined prior to treatment. In a group of 17 patients receiving a total dose of doxorubicine of 240 +/- 30 mg/m2, there was a significant decrease in diastolic duration, a reduction in diastolic volume, end systolic volume, stroke volume, stroke index, filling fraction over 1/3 diastole. In a group of 17 patients receiving a total dose of doxorubicine of 250 +/- 30 mg/m2 and radiotherapy applied to the mediastinum, the above changes were more marked. There were myocardial histomorphological changes whose magnitude progressed as therapy became more intensive. CONCLUSION. The findings have indicated that by using relatively small cumulative dose of anthracyclines, cardiovascular dysfunction can occur at the early stages of programmed treatment for LGM and lymphosarcomas. REVG has the greatest advantage in their detection.
authors.forename: E D
authors.initials: ED
authors.lastname: Iskhakov
authors.forename: Ia D
authors.initials: IaD
authors.lastname: Sakhibov
authors.forename: E V
authors.initials: EV
authors.lastname: Migunova
authors.forename: N Sh
authors.initials: NSh
authors.lastname: Sagdieva
authors.forename: E N
authors.initials: EN
authors.lastname: Glasko
authors.forename: I B
authors.initials: IB
authors.lastname: Kaplanskaia
authors.forename: B A
authors.initials: BA
authors.lastname: Atopkov
authors.forename: S V
authors.initials: SV
authors.lastname: Model
authors.forename: A A
authors.initials: AA
authors.lastname: Korolev
authors.forename: E G
authors.initials: EG
authors.lastname: Gemdzhian
mesh_terms: D000328:Adult; D018943:Anthracyclines / Q000008:administration & dosage / Q000009:adverse effects* / Q000627:therapeutic use; D000903:Antibiotics, Antineoplastic / Q000008:administration & dosage / Q000009:adverse effects* / Q000627:therapeutic use; D009202:Cardiomyopathies / Q000139:chemically induced / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D003937:Diagnosis, Differential; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006321:Heart / Q000000981:diagnostic imaging / Q000187:drug effects; D006689:Hodgkin Disease / Q000188:drug therapy* / Q000473:pathology; D006801:Humans; D008228:Lymphoma, Non-Hodgkin / Q000188:drug therapy* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D009206:Myocardium / Q000473:pathology; D015635:Radionuclide Ventriculography; D013670:Sodium Pertechnetate Tc 99m; D013997:Time Factors
chemical_list: D018943:Anthracyclines; D000903:Antibiotics, Antineoplastic; D013670:Sodium Pertechnetate Tc 99m