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Related Concept Videos

Heart Failure Drugs: Inotropic Agents01:26

Heart Failure Drugs: Inotropic Agents

733
Positive inotropic agents are commonly used as the first line of treatment for heart failure. One such agent is digoxin, derived from the genus Digitalis, which has been known for centuries but effectively utilized since 1785. However, these cardiac glycosides can have potentially toxic effects due to their mechanism of action, which involves inhibiting Na+/K+-ATPase and increasing contractility. Digoxin is absorbed orally and distributed in various tissues, including the CNS. It has a long...
733
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

37
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
37
Cardiomyopathy VI: Nursing Management01:29

Cardiomyopathy VI: Nursing Management

47
Assessment: Nursing management of patients with cardiomyopathy begins with a thorough assessment of the patient's history, including a family history of cardiomyopathy or sudden cardiac death, personal history of heart disease, hypertension, diabetes, and any alcohol consumption or drug use.During the physical examination, assess vital signs, look for signs of heart failure (such as edema, jugular venous distention, and cyanosis), auscultate for abnormal heart sounds (like murmurs and gallops),...
47
Cardiomyopathy II: Dilated Cardiomyopathy01:30

Cardiomyopathy II: Dilated Cardiomyopathy

24
Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
24
Heart Failure Drugs: β-Blockers01:22

Heart Failure Drugs: β-Blockers

435
β-adrenergic antagonists, commonly known as β-blockers, block the effects of sympathetic neurotransmitters such as noradrenaline (NA) and adrenaline (ADR). They have several beneficial effects in heart failure treatment. They reduce heart rate, the force of contraction, and cardiac muscle relaxation. They also slow the atrial-ventricular conduction rate and raise the threshold for arrhythmias. The concentration of β-blockers determines their effects on bronchodilation,...
435
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System01:26

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System

513
The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
513

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Related Experiment Video

Updated: Sep 16, 2025

Voluntary Breath-hold Technique for Reducing Heart Dose in Left Breast Radiotherapy
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Cardiotoxicity in Elderly Breast Cancer Patients.

Kalliopi Keramida1,2, Anastasia Constantinidou3,4, Dorothea Tsekoura5

  • 12nd Department of Cardiology, Medical School, National and Kapodistrian University of Athens, Athens University Hospital Attikon, 11527 Athens, Greece.

Cancers
|July 12, 2025
PubMed
Summary

Elderly breast cancer patients face significant cardiotoxicity risks from treatments. Comprehensive assessments and tailored strategies are crucial for managing cancer and cardiovascular health in this population.

Keywords:
breast cancercardiotoxicityelderlyfrailtyheart failure

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Area of Science:

  • Oncology
  • Cardiology
  • Geriatrics

Background:

  • Cardiotoxicity is a major cause of death in elderly breast cancer (BC) patients.
  • Treating BC in the elderly is complex due to heterogeneity and underrepresentation in clinical trials.

Purpose of the Study:

  • To highlight the challenges and necessary considerations for managing breast cancer in elderly patients, focusing on cardiotoxicity.
  • To emphasize the need for a multidisciplinary approach integrating geriatric assessment and cardiovascular risk evaluation.

Main Methods:

  • Review of current challenges in elderly breast cancer treatment.
  • Analysis of factors contributing to cardiotoxicity in this demographic.
  • Discussion of comprehensive decision-making strategies.

Main Results:

  • Breast cancer treatments can induce a range of cardiovascular diseases, including heart failure, hypertension, and arrhythmias.
  • Cardiotoxicity risk is influenced by anticancer therapies, polypharmacy, comorbidities, frailty, and genetic factors.

Conclusions:

  • A holistic approach is essential, considering BC specifics, patient health, frailty, and cardiotoxicity risk.
  • Preventive oncological and cardio-oncological strategies, alongside patient education, are vital.
  • Urgent need for prospective clinical trials focused on elderly breast cancer patients.