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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Radiation therapy (medium term & late effects)

5

XII.b Valvular heart disease and/or dysfunction

3

Review at PMID 24092234

Last update : 03/11/2013
 
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Identify causative drugs
Diagnosing DIRD
1
Drug and radiation history
2
Drug singularity - Correct identification of the drug
3
Consistent timing of exposure v. onset of symptoms
4
Clinical, imaging, BAL, pathological pattern consistent with the specific drug
5
Careful exlusion of another cause
6
Remission of symptoms with removal of drug
7
Recurrence with rechallenge (rarely advisable)
8
Causality assessment
More detailed checklist
See also under
Radiation therapy (early effects)
5
Radiation therapy to the breast
4
Radiation therapy to the chest
5
Radiation therapy, infusional (injected 131I or 90Y radioactivity)
2
Radiation therapy, mantle-field-
5
Radiation therapy, stereotactic (SBRT)
5

Publications

Changes of the Heart Valves in the Long Term After Chemoradiotherapy According to Different Protocols for Hodgkin's Lymphoma in Children and Adolescents.
Journal of adolescent and young adult oncology 2019 Aug;8;410-416 2019 Aug
Predicting radiation-induced valvular heart damage.
Acta oncologica (Stockholm, Sweden) 2015 Nov;54;1796-804 2015 Nov
Severe mitral regurgitation after radiotherapy.
Echocardiography (Mount Kisco, N.Y.) 2014 Feb;31;E37-40 2014 Feb
Pulmonary fibrosis on multidetector computed tomography and mortality in patients with radiation-associated cardiac disease undergoing cardiac surgery.
The Journal of thoracic and cardiovascular surgery 2014 Aug;148;475-81.e3 2014 Aug
Dosimetric predictors of asymptomatic heart valvular dysfunction following mediastinal irradiation for Hodgkin's lymphoma.
Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology 2011 Nov;101;316-21 2011 Nov
Severe infundibular pulmonary stenosis and coronary artery stenosis with ventricular tachycardia 24 years after mediastinal irradiation.
Internal medicine (Tokyo, Japan) 2005 Sep;44;963-6 2005 Sep

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