Research Article

Two-Dimensional Speckle Tracking Echocardiography Detects Subclinical Left Ventricular Systolic Dysfunction among Adult Survivors of Childhood, Adolescent, and Young Adult Cancer

Table 2

LV size and function by receipt of mediastinal radiotherapy.

ā€‰Total (overall)Mediastinal radiotherapy value
ā€‰Yes ()No ()

Fractional shortening, %33.3 (30.4, 36.1)33.3 (30.6, 36.0)33.1 (29.9, 36.1)0.948
Fractional shortening < 27%7 (5.2)5 (9.6)2 (2.4)NA
Ejection fraction, %61.1 (58.0, 63.6)60.7 (57.6, 63.4)61.2 (58.1, 64.0)0.457
Ejection fraction < 55%8 (6.0)5 (9.6)3 (3.7)NA
GLS, %18.0 (17.0, 20.0)18.0 (16.0, 19.5)19.0 (17.0, 20.0)0.040
GLS 16%31 (23.1)19 (36.5)12 (14.6)0.036
GLS (APLAX), %18.0 (16.0, 20.0)17.0 (15.0, 19.0)19.0 (17.0, 21.0)0.023
GLS (A4C), %18.0 (16.0, 20.0)17.0 (15.0, 19.0)18.0 (17.0, 20.0)0.010
GLS (A2C), %19.0 (17.0, 21.0)19.0 (16.5, 20.0)19.0 (17.0, 21.0)0.279
GLS rate, 1/s1.1 (1.0, 1.2)1.1 (1.0, 1.2)1.1 (1.0, 1.2)0.995
GRS, %42.1 (31.1, 53.7)42.1 (26.5, 55.2)42.0 (31.9, 51.4)0.843
GRS rate, 1/s2.2 (1.9, 2.7)2.3 (1.9, 2.9)2.2 (1.9, 2.7)0.086
GCS, %17.3 (15.2, 19.7)16.1 (14.5, 19.7)17.6 (16.0, 19.7)0.086
GCS rate, 1/s1.5 (1.3, 1.8)1.5 (1.3, 1.9)1.4 (1.3, 1.8)0.058
LV mass/BSA, g/m264.3 (55.9, 72.1)63.1 (56.9, 69.2)65.4 (55.6, 74.3)0.099
Mitral ratio1.5 (1.2, 1.8)1.3 (1.0, 1.6)1.6 (1.3, 1.9)0.005
Septal , cm/s10.4 (8.8, 12.3)9.3 (8.3, 11.2)11.6 (9.8, 12.6)0.003

Numbers are median (interquartile range) for continuous variables and (%) for categorical variables.
GLS, global longitudinal strain; APLAX, apical long axis; A4C, apical 4-chamber; A2C, apical 2 -hamber; LV, left ventricle; BSA, body surface area.
value from multivariable linear or logistic regression adjusted for continuous cumulative anthracycline dose, sex, and age at echocardiogram.
Based on only patients.