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Cardiovascular status of breast cancer patients before and after receiving anthracycline chemotherapy regimen
AIM: To explore the effect of TEC chemotherapy regimen (Docetaxel + Epirubicin + Cyclophosphamide) on traditional cardiovascular risk factors, atherosclerotic cardiovascular disease and cardiac electrical activity. DESIGN: 243 patients with first initially diagnosed breast cancer were collected who...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8685860/ https://www.ncbi.nlm.nih.gov/pubmed/34592784 http://dx.doi.org/10.1002/nop2.1059 |
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author | Dong, Zhaoying Liu, Zhaojun Chen, Siyu Zhang, Changhong Xiao, Jun Zhou, Xiaoli |
author_facet | Dong, Zhaoying Liu, Zhaojun Chen, Siyu Zhang, Changhong Xiao, Jun Zhou, Xiaoli |
author_sort | Dong, Zhaoying |
collection | PubMed |
description | AIM: To explore the effect of TEC chemotherapy regimen (Docetaxel + Epirubicin + Cyclophosphamide) on traditional cardiovascular risk factors, atherosclerotic cardiovascular disease and cardiac electrical activity. DESIGN: 243 patients with first initially diagnosed breast cancer were collected who receiving TEC chemotherapy. METHODS: Univariate analysis, multivariate analysis, binary logistic regression analysis and statistical description were used to analyse the data. RESULTS: Among the first diagnosed patients, prevalence of hypertension and overweight/obesity in postmenopausal patients were significantly higher than premenopausal group. Compared with initially diagnosed state, incidence of hyperlipidaemia increased significantly after TEC chemotherapy, blood glucose level was remarkably increased, and prevalence of hyperuricaemia was significantly increased, changes of blood pressure level and prevalence rate of hypertension were not significant, and there was no statistical difference. Different menopause status showed the same trend. Atherosclerotic cardiovascular disease risk stratification showed after chemotherapy low‐risk patients decrease, medium‐risk and high‐risk people increased. Grouped by menstrual status, after chemotherapy, both groups showed the same trend. The independent influencing factors of increased heart rate after chemotherapy were postmenopausal status. Postmenopausal patients had more cardiovascular risk factors than premenopausal patients. After receiving chemotherapy, levels of cardiovascular risk factors in both groups mostly changed to the direction of disease. Chemotherapy drugs increase the risk of atherosclerotic cardiovascular disease in breast cancer patients. It is necessary to strengthen interdisciplinary cooperation to dynamic assess the cardiovascular health of patients of breast cancer patients. |
format | Online Article Text |
id | pubmed-8685860 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-86858602021-12-30 Cardiovascular status of breast cancer patients before and after receiving anthracycline chemotherapy regimen Dong, Zhaoying Liu, Zhaojun Chen, Siyu Zhang, Changhong Xiao, Jun Zhou, Xiaoli Nurs Open Research Articles AIM: To explore the effect of TEC chemotherapy regimen (Docetaxel + Epirubicin + Cyclophosphamide) on traditional cardiovascular risk factors, atherosclerotic cardiovascular disease and cardiac electrical activity. DESIGN: 243 patients with first initially diagnosed breast cancer were collected who receiving TEC chemotherapy. METHODS: Univariate analysis, multivariate analysis, binary logistic regression analysis and statistical description were used to analyse the data. RESULTS: Among the first diagnosed patients, prevalence of hypertension and overweight/obesity in postmenopausal patients were significantly higher than premenopausal group. Compared with initially diagnosed state, incidence of hyperlipidaemia increased significantly after TEC chemotherapy, blood glucose level was remarkably increased, and prevalence of hyperuricaemia was significantly increased, changes of blood pressure level and prevalence rate of hypertension were not significant, and there was no statistical difference. Different menopause status showed the same trend. Atherosclerotic cardiovascular disease risk stratification showed after chemotherapy low‐risk patients decrease, medium‐risk and high‐risk people increased. Grouped by menstrual status, after chemotherapy, both groups showed the same trend. The independent influencing factors of increased heart rate after chemotherapy were postmenopausal status. Postmenopausal patients had more cardiovascular risk factors than premenopausal patients. After receiving chemotherapy, levels of cardiovascular risk factors in both groups mostly changed to the direction of disease. Chemotherapy drugs increase the risk of atherosclerotic cardiovascular disease in breast cancer patients. It is necessary to strengthen interdisciplinary cooperation to dynamic assess the cardiovascular health of patients of breast cancer patients. John Wiley and Sons Inc. 2021-09-30 /pmc/articles/PMC8685860/ /pubmed/34592784 http://dx.doi.org/10.1002/nop2.1059 Text en © 2021 The Authors. Nursing Open published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Research Articles Dong, Zhaoying Liu, Zhaojun Chen, Siyu Zhang, Changhong Xiao, Jun Zhou, Xiaoli Cardiovascular status of breast cancer patients before and after receiving anthracycline chemotherapy regimen |
title | Cardiovascular status of breast cancer patients before and after receiving anthracycline chemotherapy regimen |
title_full | Cardiovascular status of breast cancer patients before and after receiving anthracycline chemotherapy regimen |
title_fullStr | Cardiovascular status of breast cancer patients before and after receiving anthracycline chemotherapy regimen |
title_full_unstemmed | Cardiovascular status of breast cancer patients before and after receiving anthracycline chemotherapy regimen |
title_short | Cardiovascular status of breast cancer patients before and after receiving anthracycline chemotherapy regimen |
title_sort | cardiovascular status of breast cancer patients before and after receiving anthracycline chemotherapy regimen |
topic | Research Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8685860/ https://www.ncbi.nlm.nih.gov/pubmed/34592784 http://dx.doi.org/10.1002/nop2.1059 |
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