Applied Cardio-Oncology in Hematological Malignancies: A Narrative Review

Evdokia Mandala1, Kyranna Lafara1, Dimitrios Kokkinovasilis1

  • 1Division of Hematology, Forth Department of Medicine, School of Medicine, Aristotle University of Thessaloniki, 54642 Thessaloniki, Greece.

PubMed

Insights

Cardio-oncology manages heart issues in blood cancer patients. This review details therapy-related heart damage, risk, and detection methods for leukemia, lymphoma, and myeloma.

Area of Science:

  • Cardio-oncology
  • Hematology
  • Cardiovascular Medicine

Background:

  • Cardio-oncology integrates cardiovascular care for hematological malignancy patients.
  • Therapy-related cardiotoxicity is a significant concern in treating blood cancers like leukemia, lymphoma, and multiple myeloma.

Purpose of the Study:

  • To provide a comprehensive overview of cardiotoxicity in hematological malignancies.
  • To detail the definition, risk stratification, and diagnostic approaches for therapy-related cardiac dysfunction.

Main Methods:

  • Narrative review of current literature on cardiotoxicity in hematological cancers.
  • Focus on multimodality imaging and cardiac biomarkers for early detection.
  • Analysis of cardiotoxic profiles associated with various cancer therapies.

Main Results:

  • Cardiotoxicity is a common complication of diverse hematological cancer treatments, including chemotherapy, immunotherapy, and stem cell transplantation.
  • Early detection of myocardial dysfunction and electrical instability is crucial.
  • Specific therapeutic agents and interventions carry distinct cardiotoxic risks.

Conclusions:

  • Effective management of cardiotoxicity is essential for improving outcomes in patients with hematological malignancies.
  • Multimodality imaging and biomarkers aid in risk stratification and monitoring.
  • Understanding drug-specific cardiotoxicity profiles informs clinical practice and patient care.

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