Table 1

Serial changes in biochemical and echocardiographic parameters

1 day before chemotherapy 1 day after chemotherapy 3 weeks after chemotherapy Reference values
Circulating concentrations
 BNP (pg/ml)13.7  (1.9)53.8  (3.5)1-150 12.6  (2.4)< 20
 ANP (pg/ml)24.9 (4.5)30.3 (4.6)27.4 (3.9)< 40
 Noradrenaline (pg/ml)277.1 (35.3)277.1 (33.8)257.9 (51.9)100–450
 Adrenaline (pg/ml)33.0 (6.0)32.4 (5.7)39.0 (12.8)< 100
 Renin (resting supine) (ng/ml/h)1.37 (0.27)1.30 (0.23)1.09 (0.68)0.2–2.7
 Aldosterone (pm/ml)70.6 (8.2)69.2 (7.0)74.6 (16.0)45–105.5
Echocardiographic parameters
 Fractional shortening (%)36.4 (1.0)36.0 (1.2)37.5 (0.9)> 28
 Ejection fraction (%)72.9 (5.2)73.2 (6.3)72.4 (7.4)> 56
 Mitral inflow E:A ratio1.45 (0.16)0.71 (0.24)1-150 1.29 (0.12)> 1.0
 Deceleration time (ms)192.1 (9.9)271.3 (16.3)1-150 209.2 (13.6)199 (32)
 Maximum diameter of IVC (mm)12.5 (1.8)12.9 (1.6)12.0 (2.0)< 23
  • All data are expressed as mean (SEM).

  • Two way analysis of variance (ANOVA) and Fisher's exact test for post hoc analysis were carried out for multiple comparisons among groups.

  • 1-150 p < 0.05 versus a day before chemotherapy.

  • ANP, atrial natriuretic peptide; BNP, brain natriuretic peptide; IVC, inferior vena cava.