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Related Concept Videos

Pathophysiology of Heart Failure01:17

Pathophysiology of Heart Failure

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Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
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The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
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An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
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Updated: Jul 9, 2025

Percutaneous Contrast Echocardiography-guided Intramyocardial Injection and Cell Delivery in a Large Preclinical Model
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Cardiac dysfunction in solid tumours: scoping review.

Bernadette Brady1,2, Alexandra Brown2, Michelle Barrett3

  • 1Academic Department of Palliative Medicine, Our Lady's Hospice & Care Services, Dublin, Ireland bbrady@olh.ie.

BMJ Supportive & Palliative Care
|December 5, 2023
PubMed
Summary
This summary is machine-generated.

Cancer can harm the heart independently of treatment. This study found cardiovascular abnormalities like cardiomyopathy and autonomic nervous system dysfunction in cancer patients, impacting prognosis and requiring wider screening.

Keywords:
CancerHeart failureParaneoplastic disordersQuality of lifeSupportive care

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Area of Science:

  • Cardio-oncology
  • Cardiovascular Medicine
  • Oncology

Background:

  • Cancer can independently damage the heart, separate from cancer treatment-related cardiac dysfunction (CTRCD).
  • Understanding these intrinsic cardiac risks is crucial for comprehensive patient care.

Purpose of the Study:

  • To identify and characterize cardiovascular abnormalities in adult patients with solid tumors, excluding CTRCD.
  • To synthesize existing evidence on the nature and impact of cancer-associated cardiac issues.

Main Methods:

  • A comprehensive scoping review was conducted across CINAHL, Embase, and Medline databases, supplemented by handsearching.
  • Forty-four studies were included after rigorous screening and data extraction by two researchers.
  • Narrative synthesis was employed due to the heterogeneity of the identified studies.

Main Results:

  • Cardiovascular abnormalities identified include cardiomyopathy (16 studies), autonomic nervous system dysfunction (10 studies), and biomarker disturbances (9 studies).
  • These abnormalities were linked to significant morbidity (e.g., chest pain, dyspnea, fatigue) and a poorer prognosis.
  • Prevalence could not be determined due to variable study designs.

Conclusions:

  • Cardiovascular dysfunction occurs in solid tumor malignancies independently of CTRCD, even in treatment-naïve patients.
  • Manifestations include cardiomyopathies, autonomic dysfunction, and elevated biomarkers, leading to symptoms and reduced survival.
  • Clinical practice should integrate these findings, expanding screening criteria to address intrinsic cardiac risks.