Anticancer therapy induced cardiotoxicity: review of the literature

Anticancer Drugs. 2010 Jul;21(6):578-90. doi: 10.1097/CAD.0b013e3283394624.

Abstract

Innovative anticancer strategies have contributed to an improved survival of patients suffering from malignancies, and in some cases, have turned cancer into a chronic disease. Therefore, the early and particularly late onsets of adverse cardiovascular effects of systemic anticancer treatments are of increasing interest. Among a rapidly increasing variety of anticancer drugs, the anthracyclines and the monoclonal antibody, trastuzumab, are the agents with a well-known cardiotoxicity. The diagnostic work-up, the cardiotoxic risk of anthracyclines and trastuzumab, and additionally, cardiotoxicity as a risk factor of a multimodal therapeutic approach in breast cancer patients is discussed in this study.

Publication types

  • Review

MeSH terms

  • Animals
  • Anthracyclines / adverse effects
  • Anthracyclines / toxicity
  • Antibodies, Monoclonal / adverse effects
  • Antibodies, Monoclonal / toxicity
  • Antibodies, Monoclonal, Humanized
  • Antineoplastic Agents / adverse effects*
  • Antineoplastic Agents / toxicity
  • Atrial Natriuretic Factor / blood
  • Cardiotoxins / adverse effects*
  • Cardiotoxins / toxicity
  • Heart / drug effects*
  • Heart Failure / blood
  • Heart Failure / diagnosis
  • Heart Injuries / chemically induced
  • Heart Injuries / epidemiology
  • Humans
  • Radiation Injuries / epidemiology
  • Radiotherapy / adverse effects
  • Trastuzumab

Substances

  • Anthracyclines
  • Antibodies, Monoclonal
  • Antibodies, Monoclonal, Humanized
  • Antineoplastic Agents
  • Cardiotoxins
  • Atrial Natriuretic Factor
  • Trastuzumab