The development of delayed doxorubicin cardiomyopathy in the rat is ac
companied by profound anorexia, dramatically reducing the caloric inta
ke. To assess the contribution of a restriction in food to the alterat
ions in cardiac function, animals treated with doxorubicin were compar
ed with a group of pair-fed control animals and with a second group of
controls with unrestricted access to food. Prolongation of the Qalpha
T interval of the electrocardiogram developed in rats treated with dox
orubicin, but not in pair-fed controls. Myofibrillar ATPase activity a
nd the contractile strength of isolated papillary muscles were depress
ed in rats treated with doxorubicin, but not in pair-fed rats. The red
uction in ventricular weight was proportional to the reduction in the
body weight in pair-fed rats, whereas a higher ratio of ventricular to
body weight was observed in rats treated with doxorubicin. These resu
lts indicate that the alterations in cardiac function observed in dela
yed doxorubicin cardiomyopathy are not due to a reduction in the intak
e of food.