Effect of extract of Ginkgo biloba on doxorubicin-associated cardiotoxicity in patients with breast cancer.
- Author:
Shan-Yong YI
1
;
Ke-Jun NAN
;
Sheng-Jie CHEN
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Antineoplastic Combined Chemotherapy Protocols; therapeutic use; Breast Neoplasms; drug therapy; Carcinoma, Ductal, Breast; drug therapy; Cardiomyopathies; chemically induced; physiopathology; prevention & control; Doxorubicin; administration & dosage; adverse effects; Female; Ginkgo biloba; chemistry; Humans; Middle Aged; Phytotherapy; Plant Extracts; therapeutic use; Treatment Outcome; Ventricular Dysfunction, Left; physiopathology; prevention & control
- From: Chinese Journal of Integrated Traditional and Western Medicine 2008;28(1):68-70
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo study the effect of extract of Ginkgo biloba (Egb761) on doxorubicin-associated cardiotoxicity in patients with breast cancer (BC).
METHODSSixty BC patients in stage IV were randomly assigned to two groups, the control group was treated with chemotherapy, using 4 cycles of PA protocol alone and the treated group with the same chemotherapy and Egb761. Changes in electrocardiogram (ECG), myocardial enzyme spectrum (MES) and ultrasono-cardiogram (USCG) before and after treatment were observed.
RESULTSAfter treatment, the incidence of abnormal ECG was lower in the treated group than in the control group (6.7% vs 30.0%); significant differences were found between the two groups in the parameters of MES (P< 0.05); USCG showed significant difference between the two groups in left ventricular diastolic diameter (LVDd), left ventricular systolic diameter (LVDs), ratio of early and late diastolic transmitral peak flow velocity (E/A) and fractional shortening (FS), while there was no significant difference in ejection fraction (EF).
CONCLUSIONEgb761 is an ideal drug for preventing and reducing the acute doxorbincin-induced cardiotoxicity; it could also be helpful for alleviating the chronic cardiotoxicity.
