Arterial Stiffness in Breast Cancer Patients Treated with Anthracycline and Trastuzumab-Based Regimens

Aims. Cardiovascular diseases are the primary cause of premature morbidity and mortality in early breast cancer patients after treatment with cardiotoxic chemotherapeutic agents. Arterial stiffness is an independent risk factor for future cardiovascular diseases and can be used as a predictive marke...

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Main Authors: Özlem Yersal, Ufuk Eryilmaz, Hakan Akdam, Nezih Meydan, Sabri Barutca
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Cardiology Research and Practice
Online Access:http://dx.doi.org/10.1155/2018/5352914
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author Özlem Yersal
Ufuk Eryilmaz
Hakan Akdam
Nezih Meydan
Sabri Barutca
author_facet Özlem Yersal
Ufuk Eryilmaz
Hakan Akdam
Nezih Meydan
Sabri Barutca
author_sort Özlem Yersal
collection DOAJ
description Aims. Cardiovascular diseases are the primary cause of premature morbidity and mortality in early breast cancer patients after treatment with cardiotoxic chemotherapeutic agents. Arterial stiffness is an independent risk factor for future cardiovascular diseases and can be used as a predictive marker of subclinical cardiac damage. The aim of this study is to analyze the arterial stiffness in breast cancer patients who are in the follow-up period after receiving anthracycline-based chemotherapy regimens with trastuzumab. Methods and Material. We enrolled 45 HER2-positive breast cancer patients who are on follow-up at least for six months after completion of adjuvant chemotherapy with trastuzumab, and cardiovascular risk matched 30 control volunteers. The measurements were done with pulse wave analyzing machine. Results. Mean pulse wave velocity was higher in breast cancer patients compared to controls. The pulse wave velocity was significantly higher in patients receiving aromatase inhibitors compared to patients under tamoxifen. It was also significantly higher in postmenopausal breast cancer patients than postmenopausal controls. Conclusions. Arterial stiffness measurements may predict the breast cancer survivors with higher risk for cardiovascular events earlier in the follow-up period, and necessary preventive approaches and/or treatments can be applied.
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institution Kabale University
issn 2090-8016
2090-0597
language English
publishDate 2018-01-01
publisher Wiley
record_format Article
series Cardiology Research and Practice
spelling doaj-art-89e3c01e45aa43a890438dab2927a86d2025-02-03T01:22:28ZengWileyCardiology Research and Practice2090-80162090-05972018-01-01201810.1155/2018/53529145352914Arterial Stiffness in Breast Cancer Patients Treated with Anthracycline and Trastuzumab-Based RegimensÖzlem Yersal0Ufuk Eryilmaz1Hakan Akdam2Nezih Meydan3Sabri Barutca4Oncology Department, Internal Medicine Department, Adnan Menderes University, Aydin, TurkeyCardiology Department, Adnan Menderes University, Aydin, TurkeyNephrology Department, Internal Medicine Department, Adnan Menderes University, Aydin, TurkeyOncology Department, Internal Medicine Department, Adnan Menderes University, Aydin, TurkeyOncology Department, Internal Medicine Department, Adnan Menderes University, Aydin, TurkeyAims. Cardiovascular diseases are the primary cause of premature morbidity and mortality in early breast cancer patients after treatment with cardiotoxic chemotherapeutic agents. Arterial stiffness is an independent risk factor for future cardiovascular diseases and can be used as a predictive marker of subclinical cardiac damage. The aim of this study is to analyze the arterial stiffness in breast cancer patients who are in the follow-up period after receiving anthracycline-based chemotherapy regimens with trastuzumab. Methods and Material. We enrolled 45 HER2-positive breast cancer patients who are on follow-up at least for six months after completion of adjuvant chemotherapy with trastuzumab, and cardiovascular risk matched 30 control volunteers. The measurements were done with pulse wave analyzing machine. Results. Mean pulse wave velocity was higher in breast cancer patients compared to controls. The pulse wave velocity was significantly higher in patients receiving aromatase inhibitors compared to patients under tamoxifen. It was also significantly higher in postmenopausal breast cancer patients than postmenopausal controls. Conclusions. Arterial stiffness measurements may predict the breast cancer survivors with higher risk for cardiovascular events earlier in the follow-up period, and necessary preventive approaches and/or treatments can be applied.http://dx.doi.org/10.1155/2018/5352914
spellingShingle Özlem Yersal
Ufuk Eryilmaz
Hakan Akdam
Nezih Meydan
Sabri Barutca
Arterial Stiffness in Breast Cancer Patients Treated with Anthracycline and Trastuzumab-Based Regimens
Cardiology Research and Practice
title Arterial Stiffness in Breast Cancer Patients Treated with Anthracycline and Trastuzumab-Based Regimens
title_full Arterial Stiffness in Breast Cancer Patients Treated with Anthracycline and Trastuzumab-Based Regimens
title_fullStr Arterial Stiffness in Breast Cancer Patients Treated with Anthracycline and Trastuzumab-Based Regimens
title_full_unstemmed Arterial Stiffness in Breast Cancer Patients Treated with Anthracycline and Trastuzumab-Based Regimens
title_short Arterial Stiffness in Breast Cancer Patients Treated with Anthracycline and Trastuzumab-Based Regimens
title_sort arterial stiffness in breast cancer patients treated with anthracycline and trastuzumab based regimens
url http://dx.doi.org/10.1155/2018/5352914
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AT hakanakdam arterialstiffnessinbreastcancerpatientstreatedwithanthracyclineandtrastuzumabbasedregimens
AT nezihmeydan arterialstiffnessinbreastcancerpatientstreatedwithanthracyclineandtrastuzumabbasedregimens
AT sabribarutca arterialstiffnessinbreastcancerpatientstreatedwithanthracyclineandtrastuzumabbasedregimens