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;

Abstract

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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