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Mediastinal radiotherapy increases

mortality

of CVD, esp. coronary artery

disease

(Boivin, Cancer 1992; 69:1241; Hancock, JAMA 1993; 270:1949; Swerdlow

JNCI 2007; 99:206; Aleman JCO 2003; 21:3431)

Fewer studies examined CVD

morbidity

(Hull JAMA 2003; 290:2831; Aleman, Blood 2007; 109:1878; Glanzmann, Rad

Oncol 1998; 46:51)

Increased mortality for > 25yrs

Also increased risk for valvular disease

(Aleman, Blood 2007; Hull, JAMA

2003)