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Pharmaceutical Prevention and Management of Cardiotoxicity in Hematological Malignancies
Anastasia Stella Perpinia1, Nikolaos Kadoglou2, Maria Vardaka3
1Department of Cardiology, "G. Gennimatas" General Hospital, 11527 Athens, Greece.
Insights
Cancer therapies can harm the heart, causing cardiotoxicity. Prompt recognition and management of these cardiac complications are vital for patients with hematologic malignancies to ensure treatment success.
Area of Science:
- Cardiology
- Hematology
- Oncology
Background:
- Modern hematologic cancer treatments improve patient outcomes.
- Anticancer drugs and stem cell transplantation can cause significant cardiovascular side effects.
- Cardiotoxicity poses a threat to the efficacy of cancer therapies.
Purpose of the Study:
- To review the clinical manifestations of cardiotoxicity in cancer patients.
- To discuss preventive strategies against drug-induced heart problems.
- To outline pharmaceutical management for cardiotoxicity in hematologic malignancies.
Main Methods:
- Literature review of cardiotoxicity in hematologic malignancies.
- Analysis of clinical manifestations and cardiac disorders.
- Evaluation of preventive and therapeutic pharmaceutical interventions.
Main Results:
- Cardiotoxicity presents with diverse cardiac disorders like heart failure and arrhythmias.
- Early detection and intervention are crucial for managing cardiotoxicity.
- Cardiovascular risk management is integral to cancer care.
Conclusions:
- Cardiotoxicity is a significant concern in hematologic malignancies treatment.
- Comprehensive understanding and management of cardiotoxicity are essential.
- Integrated care strategies improve cardiovascular health in cancer patients.
Abstract:
Modern treatment modalities in hematology have improved clinical outcomes of patients with hematological malignancies. Nevertheless, many new or conventional anticancer drugs affect the cardiovascular system, resulting in various cardiac disorders, including left ventricular dysfunction, heart failure, arterial hypertension, myocardial ischemia, cardiac rhythm disturbances, and QTc prolongation on electrocardiograms. As these complications may jeopardize the significantly improved outcome of modern anticancer therapies, it is crucial to become familiar with all aspects of cardiotoxicity and provide appropriate care promptly to these patients. In addition, established and new drugs contribute to primary and secondary cardiovascular diseases prevention. This review focuses on the clinical manifestations, preventive strategies, and pharmaceutical management of cardiotoxicity in patients with hematologic malignancies undergoing anticancer drug therapy or hematopoietic stem cell transplantation.
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