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Published on: May 18, 2020
Priorities in the Cardiovascular Care of Breast Cancer Survivors
1Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.
Insights
Breast cancer survivors face higher cardiovascular risks due to cancer therapies. Early detection, cardioprotective strategies, and research are crucial for managing heart disease in these patients.
Area of Science:
- Oncology
- Cardiology
- Public Health
Background:
- Breast cancer is the most common cancer in women, with over 3 million survivors in the U.S.
- Breast cancer survivors experience a significant increase in cardiovascular risk factors and disease.
- Cancer therapies, including chemotherapy and radiation, contribute to cardiovascular complications.
Purpose of the Study:
- To review the epidemiology of cardiovascular disease in breast cancer survivors.
- To examine cardiovascular concerns associated with cancer therapies.
- To discuss strategies for early detection, treatment, and prevention of cardiovascular disease in this population.
Main Methods:
- Literature review of epidemiological studies, clinical trials, and observational data.
- Analysis of cardiovascular risks linked to specific breast cancer treatments.
- Evaluation of diagnostic tools (prediction algorithms, biomarkers, imaging) and therapeutic interventions.
Main Results:
- Breast cancer survivors have a higher prevalence of cardiovascular risk factors and established cardiovascular disease.
- Cardiotoxicity is a significant concern with various breast cancer therapies.
- Multidisciplinary approaches are essential for managing cardiovascular health in survivors.
Conclusions:
- There is a critical need for improved cardiovascular risk assessment and management in breast cancer survivors.
- Early detection and intervention strategies, including cardioprotective therapies, can mitigate cardiovascular complications.
- Further evidence-based research is required to optimize the long-term cardiovascular care of breast cancer survivors.
Abstract:
Breast cancer is the most common malignancy in women with more than 3 million breast cancer survivors in the United States alone. Survivors of breast cancer suffer from an increased burden of cardiovascular risk factors and disease. The focus of this review is to describe the epidemiology of cardiovascular disease in breast cancer survivors, including the cardiovascular concerns observed with common cancer therapies. Strategies to improve upon the early detection and treatment of cardiovascular disease, including clinical prediction algorithms, biomarkers, and imaging measures are also reviewed, and the use of cardioprotective therapies to mitigate risk are summarized. Finally, the need for evidence-based research to inform and improve upon the multidisciplinary care of this growing population is highlighted.
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