Anthracycline and Cardiotoxicity | Medical Algorithm

Evaluation

Are you treating a patient with an anthracycline?

Yes

Body weight

Body height

Cumulative dose of the anthracycline doxorubicin equivalents

Left ventricular ejection fraction in percent (enter from 0 to 100)

Does the patient have a history of?

• pre-existing heart disease?

Yes

• radiation therapy to the left lung or mediastinum?

Yes

• hypertension?

Yes

Results

Please fill out required fields.

Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Body surface area (Dubois & Dubois formula)

Anthracycline dose in doxorubicin equivalents

The patient is at

Can the patient continue to receive an anthracycline?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Criteria For Diagnosis
- Criteria for Symptomatic Heart Failure Associated with Adjuvant Chemotherapy
Complications
- Hematopoietic Cell Transplant | Risk Factors for Late Congestive Heart Failure

Monitoring

Adverse Effects

Specialty

Hematology Oncology
Cardiology

Objective

options
adverse effects

ICD-10

T45.1 - Poisoning, antineoplastic and immunosuppressive drugs

Monitoring a Patient Receiving an Anthracycline

Purpose: To monitor a patient for cardiotoxicity associated with anthracycline chemotherapy using the algorithm of Keefe.