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[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.
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.
Abstract:
Cardiotoxic side effects can significantly limit the quality of life and survival of tumor patients under treatment. Acute and chronic effects include hypertension, venous and arterial thromboembolic events, acute and chronic coronary syndromes, heart failure and arrhythmias. Patients with previous cardiovascular diseases are often more frequently affected by side effects. The triggers are not only irradiation and conventional chemotherapy but increasingly also newer forms of cancer treatment. These include targeted therapy and immune checkpoint inhibitors (ICI). The goals of oncological cardiology are the prevention, timely diagnosis and treatment of these side effects in order to optimize patient outcomes.
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