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Cardiotoxicity Cardiotoxicity refers to damage or injury to the heart muscle caused by exposure to toxic substances, often medications
The role of L-carnitine in oxygen delivery is clear, but vitamin B6 is another factor in increasing the amount of oxygen delivery in the body
Some other exposures (eg, use of proton pump inhibitors, H2-receptor blocking agents, or metformin) might raise suspicion that this was a significant or sufficient cause, but by itself is not sufficient proof that such an exposure actually caused a vitamin B insufficiency
Late gadolinium enhancement (LGE) with cardiac magnetic resonance (CMR) is a marker of myocardial fibrosis of any etiology 8
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