An update on the risk prediction and prevention of anticancer therapy-induced cardiotoxicity

Manali Bhave, Ami N. Shah, Nausheen Akhter, Steven T. Rosen*

*Corresponding author for this work

Research output: Contribution to journalReview article

4 Scopus citations

Abstract

Purpose of review: Cardiotoxicity is a well established complication of anticancer therapy. As cancer survivorship and life expectancy for cancer patients improves, the morbidity and mortality of anticancer therapy-related cardiotoxicity has become more problematic. It is of utmost importance to identify patients at the highest risk for the development of cardiotoxicity and to determine strategies for prevention, early detection and treatment. Recent findings: Clinical risk factors, biomarkers, advanced cardiac imaging and pharmacogenomics may be used to classify patients at risk for therapy-induced cardiotoxicity. A much broader armamentarium of imaging modalities for risk prediction, in addition to simple two-dimensional echocardiogram and radionucleotide angiography, has also shown clinical utility in identifying early-onset cardiotoxicity and areas of reversible myocardial injury. Exciting new research aimed at predicting cardiotoxicity and developing cardioprotective strategies may lead to changes in the administration of cardiotoxic chemotherapies. Summary: Personalized assessments of the risks and benefits of therapy should be used as opposed to standardized dosing and schedules. Patients at higher risk for cardiotoxicity should receive closer monitoring, cardioprotective agents, dose adjustment or alternative regimens in an effort to reduce cardiovascular morbidity and mortality. Future research will hopefully define specific risk prediction tools and clinical protocols to prevent irreversible cardiotoxicity.

Original languageEnglish (US)
Pages (from-to)590-599
Number of pages10
JournalCurrent opinion in oncology
Volume26
Issue number6
DOIs
StatePublished - Jan 1 2014

Keywords

  • Cardioprotection
  • Cardiotoxicity
  • Personalized medicine
  • Prevention
  • Risk prediction

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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