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Carcinoid Heart Disease: a Comprehensive Review
Saamir A Hassan1, Nicolas L Palaskas2, Ali M Agha2
1Department of Cardiology, Division of Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. sahassan1@mdanderson.org.
Carcinoid heart disease, a rare condition linked to neuroendocrine tumors, requires early diagnosis using echocardiography and NT-proBNP screening. Surgery remains the primary treatment for this serious cardiac complication.
Area of Science:
- Cardiology
- Oncology
- Medical Imaging
Background:
- Carcinoid heart disease (CHD) is a rare but serious complication in patients with neuroendocrine tumors and carcinoid syndrome.
- Serotonin is implicated as a key factor in the pathogenesis of CHD.
Purpose of the Study:
- To review current concepts in the diagnosis and management of carcinoid heart disease.
- To highlight recent advances in the evaluation and treatment of CHD.
Main Methods:
- Literature review focusing on expert consensus guidelines and recent findings.
- Discussion of diagnostic tools including echocardiography and cardiac biomarkers (e.g., NT-proBNP).
- Exploration of imaging modalities and the role of medical and surgical therapies.
Main Results:
- Expert guidelines emphasize echocardiography and NT-proBNP for CHD evaluation.
- Advances in medical therapy and surgical outcomes have improved treatment.
- Early screening and diagnosis are crucial for effective management.
Conclusions:
- Carcinoid heart disease necessitates a multidisciplinary approach involving cardiology and oncology.
- Prompt diagnosis via biomarkers and imaging, followed by surgical intervention, is key to improving patient outcomes.
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