{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T13:06:28Z","timestamp":1791983188635,"version":"4.4.0"},"reference-count":47,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2023,12,21]],"date-time":"2023-12-21T00:00:00Z","timestamp":1703116800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Pierre Masure"},{"name":"Alphonse and Marie Walkiers"},{"name":"De Winter-Vermant"},{"DOI":"10.13039\/501100006282","name":"King Baudouin Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100006282","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,4,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>The effects of isolated contemporary low-dose breast cancer (BC) radiotherapy (RT) on the heart remain poorly understood. This study aims to assess the long-term impacts of BC-RT on cardiac structure and function.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>Seventy-six women (62 \u00b1 7 years) without history of prior heart disease, who had undergone RT for either first left (n = 36) or right (n = 40) BC, without additional medical oncology therapy apart from hormonal treatment 11 \u00b1 1 years earlier, underwent transthoracic echocardiography, cardiac magnetic resonance imaging (CMR), computed tomography coronary angiography (CTCA), NT-proBNP, and a 6-min walk test (6MWT). They were compared with 54 age-matched healthy female controls. By CTCA, 68% of BC patients exhibited no or very mild coronary disease, while only 11% had moderate stenosis (50\u201369%) and 3% had significant stenosis (&amp;gt;70%). Despite slightly reduced regional echocardiographic midventricular strains, BC patients exhibited similar global left and right ventricular volumes, ejection fractions, and global strains by echocardiography and CMR as controls. Mitral E\/e\u2032 ratios were slightly higher, and mitral deceleration times were slightly lower, but NT-proBNP was similar to controls. Also, 6MWT was normal. None had late gadolinium enhancement, and extracellular volume fraction was similar in BC (28 \u00b1 3 vs. 29 \u00b1 3, P = 0.15) and controls. No differences were observed relative to dose or side of RT.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Aside from minor alterations of regional strains and diastolic parameters, women who received isolated RT for BC had low prevalence of coronary disease, normal global systolic function, NT-proBNP, and exercise capacity and showed no structural changes by CMR, refuting significant long-term cardiotoxicity in such low-risk patients.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjci\/jead338","type":"journal-article","created":{"date-parts":[[2023,12,21]],"date-time":"2023-12-21T22:02:26Z","timestamp":1703196146000},"page":"645-656","source":"Crossref","is-referenced-by-count":7,"title":["Cardiac structure, function, and coronary anatomy 10 years after isolated contemporary adjuvant radiotherapy in breast cancer patients with low cardiovascular baseline risk"],"prefix":"10.1093","volume":"25","author":[{"given":"Pauline","family":"Krug","sequence":"first","affiliation":[{"name":"Division of Cardiology, Department of Cardiovascular Diseases, Cliniques Universitaires St.Luc , Av Hippocrate 10\/2806, B-1200 Woluwe-Saint-Lambert , Belgium"},{"name":"P\u00f4le de Recherche Cardiovasculaire (CARD), Institut de Recherche Exp\u00e9rimentale et Clinique (IREC), Avenue Hippocrate, 55 bte B1.55.02 Universit\u00e9 Catholique de Louvain (UCLouvain) , B-1200 Woluwe St. Lambert , Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xavier","family":"Geets","sequence":"additional","affiliation":[{"name":"Division of Radiotherapy, Cliniques Universitaires St.Luc, Av Hippocrate 10\/2806, B-1200 Woluwe-Saint-Lambert, Belgium"},{"name":"Pole d\u2019Imagerie M\u00e9dicale, Radioth\u00e9rapie et Oncologie (MIRO), Institut de Recherche Exp\u00e9rimentale et Clinique (IREC), Universit\u00e9 Catholique de Louvain (UCLouvain) , Avenue 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Exp\u00e9rimentale et Clinique (IREC), Avenue Hippocrate, 55 bte B1.55.02 Universit\u00e9 Catholique de Louvain (UCLouvain) , B-1200 Woluwe St. Lambert , Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Vancraeynest","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Cardiovascular Diseases, Cliniques Universitaires St.Luc , Av Hippocrate 10\/2806, B-1200 Woluwe-Saint-Lambert , Belgium"},{"name":"P\u00f4le de Recherche Cardiovasculaire (CARD), Institut de Recherche Exp\u00e9rimentale et Clinique (IREC), Avenue Hippocrate, 55 bte B1.55.02 Universit\u00e9 Catholique de Louvain (UCLouvain) , B-1200 Woluwe St. Lambert , Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne-Catherine","family":"Pouleur","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Cardiovascular Diseases, Cliniques Universitaires St.Luc , Av Hippocrate 10\/2806, B-1200 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