Subjects will include patients diagnosed with breast cancer or hematological cancer who are planned for chemotherapy treatment with anthracycline or trastuzumab; and who have one or more risk factors for cardiovascular disease. Subjects will received an extra echocardiogram to determine if heart problems can be detected earlier.
* Patients scheduled for potentially cardiotoxic chemotherapy would receive a baseline echocardiogram as per standard protocol which should be covered by the routine insurance * Follow-up with an extra echocardiogram for research purposes would be performed after 2 cycles of that chemotherapy - supplied by the study * Clinical assessment at 3 to 6 months including repeat echocardiography as per standard care with the research question as whether any differences in strain pattern between pre-chemo and post 2 cycles studies all identify patients who are more likely to have cardiac issues later. * Patients will have standard of care visits at 3 month, 6 month and 12 month and will be evaluated for cardiac status and survival. * Patient records will be reviewed at 5 years to check cardiac status and survival.
Study Type
OBSERVATIONAL
Subjects will receive an extra echocardiogram after 2 cycles of chemotherapy
Change in left ventricular ejection fraction (LVEF)
a decrease in LVEF of ≥10 percentage points from baseline to a value of \< 50% OR a decrease of LVEF by ≥ 5 percentage points from baseline to LVEF \<50% for patients who have a baseline LVEF of 50-54%
Time frame: through study completion, an average of 1 year
Survival status
alive or deceased
Time frame: through study completion, an average of 1 year
Change in symptoms that may be indicative of heart failure
Presence of absence of symptoms
Time frame: through study completion, an average of 1 year
Change in treatment that may be indicative of heart failure
Presence or absence of treatment for heart failure
Time frame: through study completion, an average of 1 year
Change in strain echo that may be indicative of heart failure
Presence or absence of heart failure by imaging
Time frame: through study completion, an average of 1 year
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.