Читать книгу Assisted Reproduction Techniques - Группа авторов - Страница 183

Certain chemotherapeutic agents are known to increase the risk of later systemic problems. Both anthracycline in ABVD and supra‐diaphragmatic radiotherapy can lead to later cardiac toxicity. In the presence of subclinical cardiac disease, physiological changes that occur in pregnancy including the increase in cardiac output can precipitate cardiac symptoms for the first time. In Case History 2, the patient should be advised to have an echocardiogram prior to conception and cardiology review if indicated [18,21].

Case History 2 will need be advised a CT scan prior to ART to confirm the absence of any breast cancer recurrence before embarking on fertility treatment.