Risk Prediction, Diagnosis and Management of a Breast Cancer Patient with Treatment-Related Cardiovascular Toxicity: An Essential Overview

被引:0
|
作者
Cronin, Michael [1 ]
Lowery, Aoife [2 ,3 ]
Kerin, Michael [2 ,4 ]
Wijns, William [1 ,2 ,3 ]
Soliman, Osama [1 ,2 ,3 ,4 ]
机构
[1] Univ Galway, Sch Med, Galway H91V4AY, Ireland
[2] Precis Cardiooncol Res Enterprise P CORE, Galway H91 TK33, Ireland
[3] CURAM Ctr Res Med Devices, Galway H91 TK33, Ireland
[4] Univ Galway, Lambe Inst Translat Res, Discipline Surg, Galway H91 V4AY, Ireland
关键词
cardiology; risk prediction; breast cancer; cardiac CT; echo; cardiac MRI; nuclear medicine; heart failure; CORONARY-ARTERY-DISEASE; TRASTUZUMAB-INDUCED CARDIOTOXICITY; EXPERT CONSENSUS DOCUMENT; MAGNETIC-RESONANCE; COMPUTED-TOMOGRAPHY; RANDOMIZED-TRIAL; AMERICAN SOCIETY; HEART-FAILURE; RECEIVING ANTHRACYCLINES; PROGNOSTIC IMPLICATIONS;
D O I
10.3390/cancers16101845
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Simple Summary This is a contemporary overview of how cardiology issues arise in the breast cancer population from anti-cancer agents (e.g., chemotherapy, targeted therapy, endocrine therapy, and radiotherapy). The overview demonstrates how we identify these cardiac issues and what we can do about them.Abstract Breast cancer is amongst the most common invasive cancers in adults. There are established relationships between anti-cancer treatments for breast cancer and cardiovascular side effects. In recent years, novel anti-cancer treatments have been established, as well as the availability of multi-modal cardiac imaging and the sophistication of treatment for cardiac disease. This review provides an in-depth overview regarding the interface of breast cancer and cancer therapy-related cardiovascular toxicity. Specifically, it reviews the pathophysiology of breast cancer, the method of action in therapy-related cardiovascular toxicity from anti-cancer treatment, the use of echocardiography, cardiac CT, MRI, or nuclear medicine as diagnostics, and the current evidence-based treatments available. It is intended to be an all-encompassing review for clinicians caring for patients in this situation.
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页数:38
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