Efficacy and safety of cardiac resynchronization therapy in chemotherapy‐induced cardiomyopathy: A systematic review

Author:

Shehram Muhammad1,Khalid Hiba2,Shafique Hafiz Muhammad3,Umer Bakht3,Zafar Awais4,Ullah Asif5,Zaidi Syed Muhammad Jawad6,Basit Jawad6,Mehmoodi Amin7ORCID,Malik Jahanzeb6

Affiliation:

1. Department of Cardiology Mufti Mehmood Memorial Teaching Hospital DI Khan Pakistan

2. Department of Dermatology Benazir Bhutto Hospital Rawalpindi Pakistan

3. Department of Interventional Cardiology Armed Forces Institute of Cardiology Rawalpindi Pakistan

4. Department of Medicine Sahiwal Medical College Sahiwal Pakistan

5. Department of Cardiology Khyber Medical University Institute of Medical Sciences Kohat Pakistan

6. Department of Cardiovascular Medicine Cardiovascular Analytics Group Canterbury UK

7. Department of Medicine Ibn e Seen Hospital Kabul Afghanistan

Abstract

AbstractObjectiveThe aim of the study was to assess the efficacy of cardiac resynchronization therapy (CRT) in patients with chemotherapy‐induced cardiomyopathy (CIC).MethodsWith the increasing incidence of CIC, the association of CRT with improvement in clinical outcomes, echocardiographic parameters, and New York Heart Classification (NYHA) class was assessed through this qualitative systematic review.ResultsThe five studies included a total of 169 patients who underwent CRT after CIC, and of these, 61 (36.1%) patients were males. All studies showed an improvement in left ventricular ejection fraction (LVEF), among other echocardiographic parameters of LV volume. However, these findings are limited by short follow‐up periods, small sample sizes, and the absence of a control group.ConclusionCRT was associated with improvement in all patient parameters with CIC.

Publisher

Wiley

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine,General Medicine

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