The Adjuvant Cardiac Review and Evaluation Committee (ACREC) reported criteria for the diagnosis of symptomatic heart failure associated with adjuvant chemotherapy.
(1) clinical symptoms
(2) objective findings on the physical examination
(3) supportive evidence
(3) pedal edema
(1) elevated jugular venous pressure (JVP)
(2) sinus tachycardia
(4) S3 heart sound
(5) lung crackles
(1) drop in LVEF by >= 10%
(2) absolute ejection fraction < 50% by MUGA or echocardiogram
(3) pulmonary edema and/or increased vascular markings on chest X-ray
The presence of all 3 parameters was required to diagnose subjective heart failure.
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Purpose: To identify a patient with symptomatic heart failure secondary to adjuvant chemotherapy using the ACREC criteria.
Specialty: Hematology Oncology, Cardiology, Pharmacology, clinical
Objective: criteria for diagnosis, adverse effects