Category:CTCAE4 Cardiac disorders

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Adverse Event Grade1 Grade2 Grade3 Grade4 Grade5
Acute coronary syndrome - Symptomatic, progressive angina; cardiac enzymes normal; hemodynamically stable Symptomatic, unstable angina and/or acute myocardial infarction, cardiac enzymes abnormal, hemodynamically stable Symptomatic, unstable angina and/or acute myocardial infarction, cardiac enzymes abnormal, hemodynamically unstable Death
Aortic valve disease Asymptomatic valvular thickening with or without mild valvular regurgitation or stenosis by imaging Asymptomatic; moderate regurgitation or stenosis by imaging Symptomatic; severe regurgitation or stenosis by imaging; symptoms controlled with medical intervention Life-threatening consequences; urgent intervention indicated (e.g., valve replacement, valvuloplasty) Death
Asystole Periods of asystole; non-urgent medical management indicated - - Life-threatening consequences; urgent intervention indicated Death
Atrial fibrillation Asymptomatic, intervention not indicated Non-urgent medical intervention indicated Symptomatic and incompletely controlled medically, or controlled with device (e.g., pacemaker), or ablation Life-threatening consequences; urgent intervention indicated Death
Atrial flutter Asymptomatic, intervention not indicated Non-urgent medical intervention indicated Symptomatic and incompletely controlled medically, or controlled with device (e.g., pacemaker), or ablation Life-threatening consequences; urgent intervention indicated Death
Atrioventricular block complete - Non-urgent intervention indicated Symptomatic and incompletely controlled medically, or controlled with device (e.g., pacemaker) Life-threatening consequences; urgent intervention indicated Death
Atrioventricular block first degree Asymptomatic, intervention not indicated Non-urgent intervention indicated - - -
Cardiac arrest - - - Life-threatening consequences; urgent intervention indicated Death
Cardiac disorders - Other, specify Asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated Moderate; minimal, local or noninvasive intervention indicated; limiting age-appropriate instrumental ADL Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of existing hospitalization indicated; disabling; limiting self care ADL Life-threatening consequences; urgent intervention indicated Death
Chest pain - cardiac Mild pain Moderate pain; limiting instrumental ADL Pain at rest; limiting self care ADL - -
Conduction disorder Mild symptoms; intervention not indicated Moderate symptoms Severe symptoms; intervention indicated Life-threatening consequences; urgent intervention indicated Death
Constrictive pericarditis - - Symptomatic heart failure or other cardiac symptoms, responsive to intervention Refractory heart failure or other poorly controlled cardiac symptoms Death
Heart failure Asymptomatic with laboratory (e.g., BNP _B-Natriuretic Peptide _) or cardiac imaging abnormalities Symptoms with mild to moderate activity or exertion Severe with symptoms at rest or with minimal activity or exertion; intervention indicated Life-threatening consequences; urgent intervention indicated (e.g., continuous IV therapy or mechanical hemodynamic support) Death
Left ventricular systolic dysfunction - - Symptomatic due to drop in ejection fraction responsive to intervention Refractory or poorly controlled heart failure due to drop in ejection fraction; intervention such as ventricular assist device, intravenous vasopressor support, or heart transplant indicated Death
Mitral valve disease Asymptomatic valvular thickening with or without mild valvular regurgitation or stenosis by imaging Asymptomatic; moderate regurgitation or stenosis by imaging Symptomatic; severe regurgitation or stenosis by imaging; symptoms controlled with medical intervention Life-threatening consequences; urgent intervention indicated (e.g., valve replacement, valvuloplasty) Death
Mobitz (type) II atrioventricular block Asymptomatic, intervention not indicated Symptomatic; medical intervention indicated Symptomatic and incompletely controlled medically, or controlled with device (e.g., pacemaker) Life-threatening consequences; urgent intervention indicated Death
Mobitz type I Asymptomatic, intervention not indicated Symptomatic; medical intervention indicated Symptomatic and incompletely controlled medically, or controlled with device (e.g., pacemaker) Life-threatening consequences; urgent intervention indicated Death
Myocardial infarction - Asymptomatic and cardiac enzymes minimally abnormal and no evidence of ischemic ECG changes Severe symptoms; cardiac enzymes abnormal; hemodynamically stable; ECG changes consistent with infarction Life-threatening consequences; hemodynamically unstable Death
Myocarditis Asymptomatic with laboratory (e.g., BNP _B-Natriuretic Peptide _) or cardiac imaging abnormalities Symptoms with mild to moderate activity or exertion Severe with symptoms at rest or with minimal activity or exertion; intervention indicated Life-threatening consequences; urgent intervention indicated (e.g., continuous IV therapy or mechanical hemodynamic support) Death
Palpitations Mild symptoms; intervention not indicated Intervention indicated - - -
Paroxysmal atrial tachycardia Asymptomatic, intervention not indicated Symptomatic; medical management indicated IV medication indicated Life-threatening consequences; incompletely controlled medically; cardioversion indicated Death
Pericardial effusion - Asymptomatic effusion size small to moderate Effusion with physiologic consequences Life-threatening consequences; urgent intervention indicated Death
Pericardial tamponade - - - Life-threatening consequences; urgent intervention indicated Death
Pericarditis Asymptomatic, ECG or physical findings (e.g., rub) consistent with pericarditis Symptomatic pericarditis (e.g., chest pain) Pericarditis with physiologic consequences (e.g., pericardial constriction) Life-threatening consequences; urgent intervention indicated Death
Pulmonary valve disease Asymptomatic valvular thickening with or without mild valvular regurgitation or stenosis by imaging Asymptomatic; moderate regurgitation or stenosis by imaging Symptomatic; severe regurgitation or stenosis by imaging; symptoms controlled with medical intervention Life-threatening consequences; urgent intervention indicated (e.g., valve replacement, valvuloplasty) Death
Restrictive cardiomyopathy - - Symptomatic heart failure or other cardiac symptoms, responsive to intervention Refractory heart failure or other poorly controlled cardiac symptoms Death
Right ventricular dysfunction Asymptomatic with laboratory (e.g., BNP _B-Natriuretic Peptide _) or cardiac imaging abnormalities Symptoms with mild to moderate activity or exertion Severe symptoms, associated with hypoxemia, right heart failure; oxygen indicated Life-threatening consequences; urgent intervention indicated (e.g., ventricular assist device); heart transplant indicated Death
Sick sinus syndrome Asymptomatic, intervention not indicated Non-urgent intervention indicated Severe, medically significant; medical intervention indicated Life-threatening consequences; urgent intervention indicated Death
Sinus bradycardia Asymptomatic, intervention not indicated Symptomatic, medical intervention indicated Severe, medically significant, medical intervention indicated Life-threatening consequences; urgent intervention indicated Death
Sinus tachycardia Asymptomatic, intervention not indicated Symptomatic; non-urgent medical intervention indicated Urgent medical intervention indicated - -
Supraventricular tachycardia Asymptomatic, intervention not indicated Non-urgent medical intervention indicated Medical intervention indicated Life-threatening consequences; urgent intervention indicated Death
Tricuspid valve disease Asymptomatic valvular thickening with or without mild valvular regurgitation or stenosis Asymptomatic; moderate regurgitation or stenosis by imaging Symptomatic; severe regurgitation or stenosis; symptoms controlled with medical intervention Life-threatening consequences; urgent intervention indicated (e.g., valve replacement, valvuloplasty) Death
Ventricular arrhythmia Asymptomatic, intervention not indicated Non-urgent medical intervention indicated Medical intervention indicated Life-threatening consequences; hemodynamic compromise; urgent intervention indicated Death
Ventricular fibrillation - - - Life-threatening consequences; hemodynamic compromise; urgent intervention indicated Death
Ventricular tachycardia - Non-urgent medical intervention indicated Medical intervention indicated Life-threatening consequences; hemodynamic compromise; urgent intervention indicated Death
Wolff-Parkinson-White syndrome Asymptomatic, intervention not indicated Non-urgent medical intervention indicated Symptomatic and incompletely controlled medically or controlled with procedure Life-threatening consequences; urgent intervention indicated Death

Articles in category "CTCAE4 Cardiac disorders"

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