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Table 3 Heart failure therapy and response to heart failure treatment

From: Early- and late anthracycline-induced cardiac dysfunction: echocardiographic characterization and response to heart failure therapy

 

Overall (n = 92)

Early (n = 49)

Late (n = 43)

p-value

Heart failure treatment initiation

0.258

 Initiated

63 (68)

36 (73)

27 (63)

 Adding to previous therapy

5 (5)

1 (2)

4 (9)

 LVEF > 45% and no cardiac complaints

24 (26)

12 (24)

12 (28)

Number of HF drugs

0.162

 1

32 (47)

20 (54)

12 (39)

 2

28 (41)

15 (41)

13 (42)

 3

8 (12)

2 (5)

6 (19)

ACE inhibitors / ARB

0.538

 n

61 (90)

34 (92)

27 (87)

 % of target dose

25 [16.7–50]

25 [16.7–50]

25 [25–41.5]

Beta-blockers

0.183

 n

39 (57)

18 (49)

21 (68)

 % of target dose

25 [12.5–50]

18.75 [12.5–25]

25 [12.5–50]

MRA

 

 n

6 (9)

2 (5)

4 (13)

 % of target dose

37.5 [25–50]

37.5 [25–50]

37.5 [25–50]

Side effects

 

 Hypotension

18 (26)

10 (27)

8 (26)

 Renal dysfunction

3 (4)

1 (3)

2 (6)

 Other

6 (9)

3 (8)

3 (10)

Duration of HF treatment (months)

16.8 [4.8–29.8]

14.6 [3.4–28.0]

25.3 [10.1–35.2]

0.038*

Response to HF therapy

 

Overall

(n = 50)

(partial) recovery (n = 26)

No recovery (n = 24)

p-value

Response to HF therapy

0.011*

 Early

26 (51)

18 (69)

8 (33)

 Late

24 (49)

8 (31)

16 (67)

Number of HF drugs

0.669

 1

22 (44)

12 (46)

10 (42)

 2

20 (40)

9 (35)

11 (46)

 3

8 (16)

5 (19)

3 (12)

ACE inhibitors / ARB

0.316

 n

46 (92)

23 (88)

23 (96)

 % of target dose

25 [16.7–50]

25 [12.5–50]

25 [25–50]

Beta-blockers

0.713

 n

29 (59)

16 (62)

14 (58)

 % of target dose

25 [12.5–50]

25 [12.5–50]

37.5 [12.5–50]

Duration of HF treatment (months)

21.9 [13.5–30.9]

22.3 [13.5–30.9]

25.9 [13.3–36.6]

0.547

  1. Target doses are expressed as percentage of target dose according to the ESC Guideline on Heart Failure [12]. Categorical variables are expressed as n (%) and continuous variables as mean (standard deviation) or median [interquartile range]. LVEF Left ventricular ejection fraction, HF Heart failure, ACE Angiotensin converting enzyme, ARB Angiotensin II receptor blockers, MRA Mineralocorticoid receptor antagonist; * p-value < 0.05