Table 2: Incidence of anthracycline-induced Cardiotoxicity in Several Studies.
Study Anthracycline Number of Patients Type of Breast Cancer Cumulative Dose Administered Definition of Cardiomyopathy Incidence of anthracycline-mediated Cardiotoxicity
Jensen et al. (2002)[39] epirubicin 120 recurrent metastatic breast cancer 1000 mg/m2 epirubicin, Clinical symptoms of CHF or decline in LVEF 15% of the patients experienced a 25% relative reduction in LVEF 3 weeks after terminating therapy, increasing to 59% after 3 years
Swain et al. (2003) [22] doxorubicin 630 breast carcinoma and small cell lung carcinoma 400-700 mg/m2 Drop ≥ 20% in LVEF from baseline, drop ≥ 10% in LVEF from baseline and to below the institution's LLN, or clinical symptoms of CHF 5% at 400 mg/m2, 16% at 500, 26% at a dose of 550 mg/m2, 48% at a dose of 700 mg/m2,
Azambuja et al. (2009)[40] Epirubicin 777 Node-Positive Breast Cancer EC: epirubicin 60 mg/m2 with cyclophosphamide or HEC: epirubicin 100 mg/m2 with cyclophosphamide Drop of LVEF <50% or clinical symptoms of CHF EC, n = .64% (5/777); HEC, n = 1.4% (11/777)
Ryberg et al. (2008)[41] Epirubicin 1097 metastatic breast cancer cumulative dose of 1000 mg/m2 Clinical symptoms of CHF or decline in LVEF > 15% from its initial value 11.4% developed CHF