Acute and Chronic Effects of Cancer Drugs on the Cardiovascular System

Heart Fail Clin. 2020 Apr;16(2):231-241. doi: 10.1016/j.hfc.2019.11.002. Epub 2020 Feb 11.

Abstract

Several cancer treatments cause cardiotoxicity that can lead to heart failure, coronary artery disease, arrhythmia, and pericardial disease. In this review, representative cases of heart failure following cardiotoxicity caused by trastuzumab, anthracycline, and hematopoietic stem cell transplantation are described with case notes. Additionally, other important points regarding cardiotoxicity related to heart failure are reported. During and after potentially cardiotoxic therapy, periodic cardiac examinations are recommended to detect any cardiovascular disorders; these are ameliorated if appropriately diagnosed at an earlier stage. It is important for cardiologists and oncologists to understand the pathophysiology of representative cardiovascular disease cases following cancer treatment.

Keywords: Anthracycline; CTRCD; Cardio-oncology; Cardiotoxicity; GVHD; Hematopoietic stem cell transplantation; Trastuzumab.

Publication types

  • Review

MeSH terms

  • Anthracyclines / pharmacology*
  • Antineoplastic Agents / pharmacology
  • Cardiotoxicity
  • Drug Monitoring / methods
  • Heart Failure* / chemically induced
  • Heart Failure* / diagnosis
  • Heart Failure* / prevention & control
  • Hematopoietic Stem Cell Transplantation / adverse effects*
  • Hematopoietic Stem Cell Transplantation / methods
  • Humans
  • Neoplasms / drug therapy*
  • Trastuzumab / pharmacology*

Substances

  • Anthracyclines
  • Antineoplastic Agents
  • Trastuzumab