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Updated: Jun 4, 2026

Chemotherapy-induced Vascular Toxicity - Real-time In vivo Imaging of Vessel Impairment
Published on: January 7, 2015
[Cardiovascular toxicity of anti-angiogenic therapy]
O El Mesbahi1, C Tournigand, Z Benbrahim
1Service d'oncologie médicale, CHU Hassan II, Fès Zohor, Fez, Morocco. elemesbahiomar@yahoo.fr
Abstract:
The use of anti-angiogenic therapies has revolutionized the treatment of cancer. However, some of these drugs are associated with cardiovascular damage. An early detection and personalized management is necessary to screen and treat an increase in blood pressure, proteinuria or symptomatic left ventricular dysfunction. Angiotensin-converting enzyme inhibitors and angiotensin II antagonists are the first line treatment of this cardiotoxicity. The interruption of treatment is recommended if cardiac manifestations are uncontrolled, unless the expected benefit is greater than the risks.
Insights
Anti-angiogenic cancer therapies can cause cardiovascular damage. Early detection and management, including ACE inhibitors, are crucial for treating side effects like high blood pressure and heart dysfunction.
Area of Science:
- Oncology
- Cardiology
- Pharmacology
Context:
- Anti-angiogenic therapies are vital in cancer treatment.
- These therapies can lead to significant cardiovascular side effects.
- Cardiovascular damage requires early detection and personalized management strategies.
Purpose:
- To highlight the cardiovascular risks associated with anti-angiogenic cancer drugs.
- To outline the importance of monitoring and managing cardiotoxicity.
- To recommend specific treatments for managing these adverse effects.
Summary:
- Anti-angiogenic drugs, while effective against cancer, can cause cardiovascular damage.
- Monitoring for increased blood pressure, proteinuria, and left ventricular dysfunction is essential.
- Angiotensin-converting enzyme inhibitors and angiotensin II antagonists are primary treatments for this cardiotoxicity.
Impact:
- Ensures safer use of anti-angiogenic therapies in oncology.
- Facilitates personalized patient management to mitigate cardiac risks.
- Provides guidance on treatment adjustments based on cardiac manifestation severity.
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