Anthracycline-Induced Cardiotoxicity in Acute Myeloid Leukemia Patients Who Undergo Allogeneic Hematopoietic Stem Cell Transplantation

Oren Pasvolsky*, Olga Morelli, Uri Rozovski, Mordehay Vaturi, Ofir Wolach, Irina Amitai, Iuliana Vaxman, Roy Ratzon, Moshe Yeshurun, Ran Kornowski, Zaza Iakobishvilli, Pia Raanani

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Introduction: There is paucity of data regarding the cardiotoxic effects of anthracycline treatment in the context of acute myeloid leukemia (AML) patients who undergo allogeneic hematopoietic stem cell transplantation (HSCT). Even a transient decrease in cardiac function might affect transplantation outcome. Patients and Methods: We reviewed the clinical records and echocardiography examinations of 78 patients with AML who received induction therapy and underwent HSCT. Results: Twenty-two patients (28%) received daunorubicin at a dose of 90 mg/m2 per day and 53 patients (68%) received 60 mg/m2 per day or an equivalent dose of idarubicin. In 14 patients (18%) the postinduction ejection fraction declined by at least 10%. This change was temporary in 6 patients and longstanding in the remainder. Patients who developed systolic dysfunction had inferior overall survival (13 months compared with 27 months; P = .013). Patients whose diastolic function deteriorated had improved survival outcome (38 months compared with 17 months; P = .048). Conclusion: Although even transient reduction in systolic function might compromise survival outcome, diastolic dysfunction predicts improved survival in patients with AML who undergo HSCT.

Original languageEnglish
Pages (from-to)e343-e348
JournalClinical Lymphoma, Myeloma and Leukemia
Issue number7
StatePublished - Jul 2019


  • Bone marrow transplant
  • Daunorubicin
  • Ejection fraction
  • Induction
  • Systolic function


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