From: Lessons learnt in the first year of an Australian pediatric cardio oncology clinic
CTCAE Grade | (n) | % | |
---|---|---|---|
Hypertension | 12 | 34 | |
0 | Not present | 23 | 66 |
1 | Systolic/diastolic blood pressure > 90th percentile but <95th percentile | 10 | 29 |
2 | Systolic/diastolic blood pressure > 95th percentile but <99th centile | 2 | 6 |
3 | Systolic/diastolic blood pressure > 5mmhg above 99th percentile | 0 | 0 |
4 | Life threatening consequences (i.e., malignant hypertension) | 0 | 0 |
QTc Prolongation | 2 | 6 | |
0 | Not present | 33 | 94 |
1 | Average QTc 450 – 480 ms | 2 | 6 |
2 | Average QTc 481 – 500 ms | 0 | 0 |
3 | Average QTc ≥ 501 ms; > 60 ms change from baseline | 0 | 0 |
4 | Torsades de pointes; polymorphic ventricular tachycardia etc | 0 | 0 |
Left Ventricular Systolic Dysfunction or Ejection Fraction Decreased | 9 | 24.3 | |
0 | Not present | 27 | 77 |
1 | Ejection Fraction Decreased < 50–40% or < 10–19% drop from baseline | 4 | 11 |
2 | Ejection Fraction Decreased 50–40% or 10–19% drop from baseline | 1 | 3 |
3 | Symptomatic due to drop in ejection fraction responsive to intervention | 3 | 9 |
4 | Refractory or poorly controlled heart failure due to drop in ejection fraction; intervention such as ventricular assist device, vasopressor support or heart transplant indicated | 0 | 0 |
Atrioventricular Block First degree | 1 | 2.7 | |
0 | Not present | 36 | 97.3 |
1 | Asymptomatic, intervention not indicated | 1 | 3 |
2 | Non-urgent intervention indicated | 0 | 0 |
Aortic Valve Disease | 1 | 2.7 | |
0 | Not present | 36 | 0 |
1 | Asymptomatic valvular thickening with or without mild valvular regurgitation or stenosis by imaging | 1 | 3 |
2 | Asymptomatic; moderate regurgitation or stenosis by imaging | 0 | 0 |
3 | Symptomatic; severe regurgitation or stenosis by imaging; symptoms controlled with medical intervention | 0 | 0 |
4 | Life-threatening consequences; urgent intervention indicated (i.e., valve replacement, valvuloplasty) | 0 | 0 |