[Novel cancer treatment and the cardiovascular risk : What should cardiologists know?]

Matthias Totzeck1, Tienush Rassaf2

  • 1Klinik für Kardiologie und Angiologie, Westdeutsches Herz- und Gefäßzentrum Essen, Universitätsklinikum Essen, Hufelandstr. 55, 45147, Essen, Deutschland. matthias.totzeck@uk-essen.de.

Herz
|February 21, 2020
PubMed

Insights

Cancer treatments, including chemotherapy and newer therapies like immune checkpoint inhibitors (ICI), can cause serious heart problems. Oncological cardiology aims to prevent, diagnose, and treat these cardiotoxic effects to improve patient survival and quality of life.

Area of Science:

  • Oncology
  • Cardiology
  • Cancer Therapeutics

Background:

  • Cancer treatments can lead to significant cardiotoxic side effects, impacting patient quality of life and survival.
  • These effects range from hypertension and heart failure to arrhythmias and thromboembolic events.
  • Patients with pre-existing cardiovascular conditions are at higher risk.

Purpose of the Study:

  • To highlight the cardiotoxic potential of various cancer treatments.
  • To emphasize the role of oncological cardiology in managing these adverse events.
  • To underscore the importance of prevention, early diagnosis, and treatment of treatment-related cardiac dysfunction.

Main Methods:

  • Review of current oncological treatments and their known cardiovascular side effects.
  • Identification of patient populations at increased risk.
  • Discussion of the multidisciplinary approach in oncological cardiology.

Main Results:

  • Cardiotoxicity is a growing concern with conventional chemotherapy, radiation, targeted therapy, and immune checkpoint inhibitors (ICI).
  • Specific cardiotoxic effects include hypertension, thromboembolism, coronary syndromes, heart failure, and arrhythmias.
  • Effective management strategies are crucial for mitigating these risks.

Conclusions:

  • Oncological cardiology plays a vital role in managing cardiotoxicity in cancer patients.
  • Proactive monitoring and intervention are essential for optimizing outcomes.
  • Further research is needed to refine prevention and treatment strategies for cancer therapy-induced cardiotoxicity.

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