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PULSE-ECCho will focus on trying to detect cardiotoxicity in cancer patients receiving chemotherapy early on in order to avoid irreversible damage. In addition to that, we will test if the PhysioFlow is non-inferior to the conventional MUGA scan.
Our objective is to compare the PhysioFlow to the MUGA scan and see if the results are statistically the same using both techniques. This is what is known as a non-inferior study. The advantage of PhysioFlow is that it is non-invasive, fast and it is done at the bedside or while the patient is receiving his or her chemotherapy.
The patient will be tested with the MUGA scan, as per the standard of care, before chemotherapy is initiated and at every 3 months. The patient will also be tested with the PhysioFlow at the same dates of the MUGA scan. In addition to that, the patients will be tested at each chemotherapy cycle with the PhysioFlow.
Should the PhysioFlow indicate the patient has a cardiac toxicity as the patient is receiving chemotherapy, the results will be confirmed with the MUGA scan.
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| Measure | Description | Time Frame |
|---|---|---|
| comparing the change in ejection fraction measured by physioflow and MUGA scan | at initial diagnosis and after 3 month |
| Measure | Description | Time Frame |
|---|---|---|
| acceptance score on the five-point Likert Scale to measure tolerability | At the end of physioflow and or MUGA scan, a questionnaire to assess acceptance was proposed to all patients. The following aspects were evaluated: preparation and information before the imaging examination, degree of preceding concern, comfort, helplessness during the examination, pain experienced, degree of overall satisfaction. Evaluation was performed with a five-point qualitative Likert scale: very low, low, moderate, high, very high |
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Inclusion Criteria:
Control Group
Exclusion Criteria:
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All patients presenting to the oncology day clinic at Royal Victoria hospital and receiving chemotherapy.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ralph Maroun, M.D. | Contact | 5147080701 | ralph.maroun@mail.mcgill.ca |
| Name | Affiliation | Role |
|---|---|---|
| Nathaniel Bouganim, MD | McGill University Health Centre/Research Institute of the McGill University Health Centre | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| McGill university health center, Royal Victoria hospital | Not yet recruiting | Montreal | Quebec | h3a 1a1 | Canada |
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| ID | Term |
|---|---|
| D009369 | Neoplasms |
| D066126 | Cardiotoxicity |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| up to 24 hrs |
| Royal Victoria Hospital | Recruiting | Montreal | Quebec | h4a 1v3 | Canada |
|
| D064420 | Drug-Related Side Effects and Adverse Reactions |
| D064419 | Chemically-Induced Disorders |
| D011832 | Radiation Injuries |
| D014947 | Wounds and Injuries |