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Updated: Nov 22, 2025

Chemotherapy-induced Vascular Toxicity - Real-time In vivo Imaging of Vessel Impairment
Published on: January 7, 2015
Chemotherapy and Radiation-Associated Cardiac Autonomic Dysfunction.
Alexandra E Teng1, Benjamin Noor2, Olujimi A Ajijola3,4
1Division of Cardiology, Department of Medicine, University of California at San Francisco, San Francisco, CA, USA.
Cardiovascular autonomic dysfunction (AD) is a growing concern in cancer survivors. This review explores its features, diagnosis, causes, and treatments, highlighting the need for further research in this population.
Area of Science:
- Cardiology
- Oncology
- Neurology
Background:
- Cardiovascular autonomic dysfunction (AD) is increasingly recognized in cancer survivors.
- Understanding its mechanisms and incidence in this population remains limited.
Purpose of the Study:
- To review the clinical features, diagnostic methods, proposed mechanisms, and treatments for cardiovascular AD in cancer survivors.
- To highlight the current gaps in knowledge and areas for future research.
Main Methods:
- Literature review of existing studies on cardiovascular AD in cancer survivors.
- Synthesis of information on diagnostic modalities and proposed etiological factors.
- Examination of current treatment strategies extrapolated from other conditions.
Main Results:
- Cardiovascular AD in cancer survivors is likely multifactorial, potentially involving chemoradiation, inflammation, and paraneoplastic syndromes.
- It may serve as an early marker for global cardiomyopathy.
- Current treatments are extrapolated and lack specific study in cancer survivors.
Conclusions:
- Cardiovascular AD significantly impacts cancer survivors' quality of life and survival.
- Diagnostic tools have limitations but offer objective markers.
- Further research is crucial to elucidate mechanisms and develop targeted therapies for cancer survivors.
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