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Odynets T, Briskin Y. Effect of individualised physical rehabilitation programmes on the functional state of the cardiovascular system in women with post-mastectomy syndrome. INTERNATIONAL JOURNAL OF THERAPY AND REHABILITATION 2019. [DOI: 10.12968/ijtr.2018.0003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Background/Aims The purpose of this study was to determine the effectiveness of individualised physical rehabilitation programmes aimed at improving cardiovascular function in women with post-mastectomy syndrome. Methods The following methods were applied: theoretical analysis of scientific and methodologic literature data, impedance cardiography, and mathematical statistical methods. A total of 115 women with late symptoms of post-mastectomy syndrome who completed the interventions were included in this study. The participants were randomly enrolled into three groups for the first individualised programme (Group 1, n=45), for the second individualised programme (Group 2, n=40) and for the third individualised programme (Group 3, n=30). The first programme included aqua aerobics (aqua jogging, aqua building, aqua stretching), conditional swimming and recreational aerobics; the second programme included conditional swimming and Pilates exercises; the third programme included yoga-based exercises and stretching. The study was conducted during the ambulatory rehabilitation stage and lasted for 12 months. Results It was found that most of the investigated hemodynamic parameters in all groups steadily improved during the year of rehabilitation. The average values of stroke volume, cardiac output, left ventricular work, left ventricular power after 12 months of rehabilitation were statistically better (P<0.05) in the first main group compared with the second and third main groups. Conclusions Individualised programmes of physical rehabilitation were effective in improvement of cardiovascular function of all studied patients with post-mastectomy syndrome.
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Affiliation(s)
- Tetiana Odynets
- Assistant Professor, Department of Theory of Sport and Physical Culture, Lviv State University of Physical Culture, Lviv, Ukraine; Department of Physical Rehabilitation, Khortytsia National Academy, Zaporizhzhia, Ukraine
| | - Yuriy Briskin
- Professor, Department of Theory of Sport and Physical Culture, Lviv State University of Physical Culture, Lviv, Ukraine
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De Iuliis F, Salerno G, Taglieri L, De Biase L, Lanza R, Cardelli P, Scarpa S. Serum biomarkers evaluation to predict chemotherapy-induced cardiotoxicity in breast cancer patients. Tumour Biol 2015; 37:3379-87. [PMID: 26449821 DOI: 10.1007/s13277-015-4183-7] [Citation(s) in RCA: 52] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2015] [Accepted: 10/01/2015] [Indexed: 01/20/2023] Open
Abstract
Anti-neoplastic chemotherapy can determine various side effects, including cardiotoxicity, and no real guidelines for its early detection and management have been developed. The aim of this study is to find some plasmatic markers able to identify breast cancer patients that are at greater risk of developing cardiovascular complications during chemotherapy, in particular heart failure. A prospective study on 100 breast cancer patients with mean age of 66 years in adjuvant treatment with anthracyclines, taxanes, and trastuzumab was performed. Patients underwent cardiological examination before starting treatment (T0) and at 3 months (T1), 6 months (T2), and 1 year (T3) after treatment. Evaluation of serum cardiac markers and N-terminal pro-brain natriuretic peptide (NT-proBNP) was performed at T0, T1, T2, and T3, simultaneously to electrocardiogram and echocardiogram, showing a significant increase in NT-proBNP concentration (p > 0.0001) at T1, T2, and T3, before left ventricular ejection fraction decrease became evident. Human epidermal growth factor receptor 2 (HER2)-negative patients were more susceptible to mild hematological cardiotoxicity, while HER2-positive patients were more susceptible to severe cardiotoxicity. A significant correlation between NT-proBNP increased values after chemotherapy and prediction of mortality at 1 year was evidenced. From our experience, serum biomarker detection was able to support an early diagnosis of cardiac damage, also in the absence of left ventricular ejection fraction decrease. Therefore, the evaluation of specific plasmatic markers for cardiac damage is more sensitive than echocardiography in the early diagnosis of chemotherapy-related cardiotoxicity; furthermore, it can also add a prognostic value on outcome.
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Affiliation(s)
- Francesca De Iuliis
- Experimental Medicine Department, University of Rome Sapienza, Viale Regina Elena 324, 00161, Rome, Italy
| | - Gerardo Salerno
- Laboratory of Diagnostics, Department of Clinical and Molecular Medicine, University of Rome Sapienza, 00161, Rome, Italy
| | - Ludovica Taglieri
- Experimental Medicine Department, University of Rome Sapienza, Viale Regina Elena 324, 00161, Rome, Italy
| | - Luciano De Biase
- Cardiology Center, Department of Clinical and Molecular Medicine, University of Rome Sapienza, 00161, Rome, Italy
| | - Rosina Lanza
- Ginecology, Obstetrics and Urology Department, University of Rome Sapienza, 00161, Rome, Italy
| | - Patrizia Cardelli
- Laboratory of Diagnostics, Department of Clinical and Molecular Medicine, University of Rome Sapienza, 00161, Rome, Italy
| | - Susanna Scarpa
- Experimental Medicine Department, University of Rome Sapienza, Viale Regina Elena 324, 00161, Rome, Italy.
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