The Effect of Coenzym Q10 on Doxorubicin-induced Cardiotoxicity in Non Hodgkin's Lymphoma Patients

Authors

  • Julita Melisa Dewi Otorhinolaryngologist - Head and Neck Surgery Departement, Faculty of Medicine Diponegoro University – Kariadi Hospital, Semarang, Indonesia
  • Dwi Antono Otorhinolaryngologist - Head and Neck Surgery Departement, Faculty of Medicine Diponegoro University – Kariadi Hospital, Semarang, Indonesia
  • Nur Iman Nugroho Otorhinolaryngologist - Head and Neck Surgery Departement, Faculty of Medicine Diponegoro University – Kariadi Hospital, Semarang, Indonesia
  • Willy Yusmawan Otorhinolaryngologist - Head and Neck Surgery Departement, Faculty of Medicine Diponegoro University – Kariadi Hospital, Semarang, Indonesia
  • Anna Mailasari Kusuma Dewi Otorhinolaryngologist - Head and Neck Surgery Departement, Faculty of Medicine Diponegoro University – Kariadi Hospital, Semarang, Indonesia

DOI:

https://doi.org/10.36408/mhjcm.v11i2.1089

Keywords:

Hodgkin's non lymphoma, Doxorubicin, Cardiotoxicity, Coenzym Q10

Abstract

BACKGROUND : Non-Hodgkin's Lymphoma is a primary malignancy in the Lymph Nodes and lymphoid tissue originating from B lymphocytes, T lymphocytes and Natural Killer (NK) cells. Therapy for Non-Hodgkin's Lymphoma chemotherapy can be given alone or combined with radioactive therapy. Doxorubicin is a chemotherapy drug used for lymphoma with side effects, one of which is cardiotoxic effects.

AIMS :  To prove that coenzyme Q10 can reduce the cardiotoxic effect of doxorubicin chemotherapy in non-Hodgkin's lymphoma patients

METHOD : Intervention study with a randomized pre and post test double blind control group design with 34 NHL patients undergoing chemotherapy. The treatment group received additional therapy with coenzyme Q10 300mg/day for 12 weeks while the controls received placebo. The cardiotoxic effects examined were assessed based on the results of Electrocardiography and Echocardiography.

RESULT :  The treatment group with coenzyme Q10 supplementation after the 4th chemotherapy showed a decrease in echocardiography results in 3 patients (18%) and in the control group 17 patients (100%). There was a significant difference in the echocardiography results of the treatment and control groups (p=0.001). There were no drug side effects in both groups

CONCLUSION : Coenzyme Q10 supplementation provides an improvement in the cardiotoxic effects of doxorubicin in non-Hodgkin's lymphoma patients, on echocardiography, but not on Electrocardiography.

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Additional Files

Published

2024-07-31

How to Cite

1.
Dewi JM, Antono D, Nugroho NI, Yusmawan W, Dewi AMK. The Effect of Coenzym Q10 on Doxorubicin-induced Cardiotoxicity in Non Hodgkin’s Lymphoma Patients. Medica Hospitalia J. Clin. Med. [Internet]. 2024 Jul. 31 [cited 2024 Nov. 21];11(2):144-9. Available from: http://medicahospitalia.rskariadi.co.id/medicahospitalia/index.php/mh/article/view/1089

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