Cardiovascular diseases in patients after hematopoietic stem cell transplantation: Systematic review and

Azin Alizadehasl1, Nashmil Ghadimi1, Hossein Hosseinifard2

  • 1Cardio-Oncology Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.

Insights

Cardiovascular disease affects 16.84% of patients after Hematopoietic Stem Cell Transplantation (HSCT). This high prevalence highlights the need for increased attention to cardiovascular complications in HSCT recipients.

Area of Science:

  • Cardiology
  • Hematology
  • Oncology

Background:

  • Hematopoietic Stem Cell Transplantation (HSCT) is a crucial treatment for malignancies.
  • Cardiovascular complications are a significant concern for HSCT recipients.
  • This systematic review and meta-analysis investigates the prevalence of these complications.

Approach:

  • A comprehensive literature search was conducted across major databases (PubMed, MEDLINE, Cochrane, Scopus, Web of Science) up to January 2022.
  • The Newcastle-Ottawa Scale was employed to assess the quality of included studies.
  • 37 articles comprising 30,957 patients were included in the meta-analysis.

Key Points:

  • The overall prevalence of cardiovascular disease (CVD) post-HSCT was found to be 16.84%.
  • Specific CVD-related complications included Arrhythmias (3.91%), Congestive Heart Failure (3.66%), and Hypertension (17.71%).
  • Other examined complications were stroke (0.22%) and mortality (1.53%) in the HSCT population.

Conclusions:

  • Cardiovascular disease prevalence after HSCT is notably high.
  • These findings underscore the critical need for specialized cardiovascular monitoring and management in HSCT patients.
  • Further research and clinical attention are warranted to mitigate these risks.
Abstract

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