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Cardiovascular Toxicity of Molecular Targeted Therapy in Cancer Patients: A Double-Edged Sword
Kuan-Liang Liu1, Jen-Shi Chen2, Shin-Cheh Chen3
1The First Cardiovascular Division, Department of Internal Medicine;
Unlabelled:
The annual incidence of cancer has increased over the past 20 years, yet the 5-year relative survival rate for cancer has improved with the increasing availability of advanced therapies, including molecular targeted therapy. Cardiovascular toxicity can develop with this type of targeted therapy, which can cause serious side effects including left ventricular dysfunction, hypertension, hypotension, QT prolongation, thromboembolism, and myocardial ischemia. In many ways, the quality of life primarily depends on the health status of patient cardiopulmonary function. However, risk factor assessment, routine monitoring, and prompt intervention remain the best strategy to deal with these patients with malignancies, to ensure that their cardiopulmonary function is maintained at the highest possible level. Most previous studies on cardiovascular toxicity have focused on conventional chemotherapy. Molecular targeted therapy is a novel anticancer treatment; however, due to potentially adverse cardiovascular events from this therapy, oncologists and cardiologists need to work together to maximize the benefits. In this review, we focused on target therapy-induced cardiovascular toxicities, in particular cardiac structural, electrophysiological, and vascular effects.
Key Words:
Cardiovascular toxicity; Molecular target therapy.
Insights
Molecular targeted therapy improves cancer survival but can cause cardiovascular toxicity. Early risk assessment and monitoring are crucial for managing these cardiac side effects and maintaining patient quality of life.
Area of Science:
- Oncology
- Cardiology
- Pharmacology
Background:
- Cancer incidence has risen, with improved survival due to advanced therapies like molecular targeted therapy.
- Molecular targeted therapy, while effective, is associated with significant cardiovascular toxicities.
- Cardiopulmonary function is critical for patient quality of life, necessitating careful management during cancer treatment.
Purpose of the Study:
- To review the cardiovascular toxicities associated with molecular targeted therapy.
- To highlight the importance of collaborative care between oncologists and cardiologists.
- To focus on the cardiac structural, electrophysiological, and vascular effects of targeted therapies.
Main Methods:
- Literature review of studies on cardiovascular toxicity induced by molecular targeted therapy.
- Analysis of adverse cardiovascular events, including left ventricular dysfunction, arrhythmias, and ischemia.
- Synthesis of current understanding of molecular targeted therapy's impact on cardiovascular health.
Main Results:
- Molecular targeted therapy can lead to serious cardiovascular side effects such as heart failure, hypertension, and thromboembolism.
- Previous research predominantly focused on chemotherapy-induced cardiotoxicity, with less emphasis on targeted agents.
- Understanding these toxicities is vital for proactive patient management.
Conclusions:
- Cardiovascular toxicity is a significant concern with molecular targeted therapy.
- Integrated care models involving oncologists and cardiologists are essential for managing these risks.
- Ongoing research and monitoring are needed to optimize patient outcomes and quality of life.
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