Endothelial health in childhood acute lymphoid leukemia survivors: pilot evaluation with peripheral artery tonometry.

Endothelial health in childhood acute lymphoid leukemia survivors: pilot evaluation with peripheral artery tonometry.
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儿童急性淋巴细胞白血病幸存者的内皮健康:使用外周动脉张力测定法进行初步评估。

DOI:
10.1097/mph.0000000000000122
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发表时间:
2015
期刊:
Journal of pediatric hematology/oncology
影响因子:
--
通讯作者:
Han,Hae-Ra
Han,Hae-Ra
中科院分区:
--
文献类型:
--
作者:
Ruble,Kathy;Davis,CatherineL;Han,Hae-Ra

文献摘要

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Background:Childhood cancer survivors are a growing population at risk for poor cardiac outcomes. Acute lymphoid leukemia (ALL) survivors are among those at increased risk of cardiovascular complications. Early identification of impaired vascular health may allow for interventions to improve these outcomes. The purpose of this study was to evaluate vascular health using peripheral artery tonometry in ALL survivors and compare results with healthy siblings.Procedure:Sixteen ALL survivor, healthy sibling pairs, aged 8 to 20 years, were evaluated for vascular health and cardiovascular risk factors (body mass index, central adiposity, blood pressure, and fitness). One-tailed paired t test was used to compare the groups.Results:Survivors were similar to siblings in cardiovascular risk measures but had poorer vascular health as measured by reactive hyperemia index (survivor RHI 1.54 vs. sibling 1.77; P= 0.0474).Conclusion:This study reveals that even among survivors who are comparable to their healthy siblings in other traditional cardiovascular risks, there is evidence of poorer vascular health.