Cancer Therapy-Related Cardiac Dysfunction: Strategies for Enhancing Cardiac Recovery.
Pavel Martinez-DominguezMaria Jose Santa Ana-BayonaEnrique C GuerraNilda Espinola-ZavaletaPublished in: Methodist DeBakey cardiovascular journal (2024)
Chemotherapy has markedly improved cancer outcomes, yet cancer therapy-related cardiac dysfunction (CTRCD) poses a significant challenge, affecting around 10% of patients. CTRCD can be asymptomatic or present with heart failure symptoms. Multimodality imaging, particularly echocardiography, remains pivotal for monitoring cardiac function. Potential biomarkers for CTRCD assessment include troponin and B-type natriuretic peptide. Pharmacological interventions, such as dexrazoxane, angiotensin-converting enzyme inhibitors, and statins, play a crucial role in primary prevention and mitigating cardiotoxicity alongside cardiac rehabilitation programs. Thus, a comprehensive approach is essential for optimal cardiac recovery and improved patient outcomes.
Keyphrases
- left ventricular
- cancer therapy
- heart failure
- angiotensin converting enzyme
- drug delivery
- end stage renal disease
- ejection fraction
- oxidative stress
- chronic kidney disease
- high resolution
- newly diagnosed
- type diabetes
- public health
- radiation therapy
- metabolic syndrome
- cardiac resynchronization therapy
- prognostic factors
- papillary thyroid
- pulmonary hypertension
- mass spectrometry
- locally advanced
- atrial fibrillation
- squamous cell
- photodynamic therapy
- drug induced
- childhood cancer