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Table 2 Predictors of decline in LVEF and GLS following treatment with Trastuzumab

From: Trastuzumab in patients with breast cancer and pre-existing left ventricular systolic dysfunction

 

≥ 10% decline in LVEF

 

≥ 15% decline in GLS

Yes

No

P-Value

 

Yes

No

P-Value

BMI Category

       

 Normal

1 (10%)

9 (90%)

0.76

 

2 (20%)

8 (80%)

0.53

 Overweight

3 (17.6%)

14 (82.4%)

 

1 (5.9%)

16 (94.1%)

 Obese

2(22.2%)

7 (77.8%)

 

1 (11.1%)

8 (88.9%)

Baseline heart rate, median (IQR)

88.5 (26.75)

90 (12.5)

0.564

 

82.5 (27.75)

90 (12.5)

0.33

Baseline systolic blood pressure, median (IQR)

135 (44.5)

120 (15.75)

0.04

 

115 (17.5)

120 (19.75)

0.19

Baseline diastolic blood pressure, median (IQR)

85 (20.25)

80 (12.75)

0.22

 

82.5 (16.25)

80 (14.25)

0.38

Past medical history

       

 Diabetes mellitus

1 (25%)

3 (75%)

0.53

 

0

4 (100%)

0.61

 Hypertension

3 (42.9%)

4 (57.1%)

0.07

 

1 (14.3%)

6 (85.7%)

0.59

 Hyperlipidemia

2 (25%)

6 (75%)

0.4

 

1 (12.5%)

7 (87.5%)

0.65

 Coronary artery disease

1 (50%)

1 (50%)

0.31

 

0

2 (100%)

0.78

Cancer details

       

 Laterality of breast cancer

       

  Right breast

3 (21.4%)

11 (78.6)

0.65

 

1 (7.1%)

13 (92.9%)

0.49

  Left breast

3 (13.6%)

19 (86.4%)

 

3 (13.6%)

19 (86.4%)

 Receptor status

       

  ER-Positive

3 (15.8%)

16 (84.2%)

0.61

 

1 (5.3%)

18 (94.7%)

0.32

  PR-Positive

4 (17.4%)

19 (82.6%)

0.63

 

1 (4.3%)

22 (95.7%)

0.12

 Presence of metastasis

1 (16.7%)

5 (83.3%)

0.74

 

0

6 (100%)

0.46

 Previous radiation therapy

3 (10.7%)

25 (89.3%)

0.1

 

3 (10.7%)

25 (89.3%)

0.65

  1. LVEF: left ventricular ejection fraction, GLS: global longitudinal strain, BMI: body mass index, IQR: interquartile range, ER: estrogen receptor, PR: progesterone receptor