This contemporary review summarizes current evidence on the spectrum, prevention, and management of chemotherapy-related adverse cardiac effects, highlighting the role of cardiac imaging.
This review highlights the role of cardiac imaging in evaluating and managing chemotherapy-related cardiotoxicity in cancer patients.
The long-term survivorship of patients diagnosed with cancer has improved due to accelerated detection and rapidly evolving cancer treatment strategies. As such, the evaluation and management of cancer therapy related complications has become increasingly important, including cardiovascular complications. These have been captured under the umbrella term "cardiotoxicity" and include left ventricular dysfunction and heart failure, acute coronary syndromes, valvular abnormalities, pericardial disease, arrhythmia, myocarditis, and vascular complications. These complications add to the burden of cardiovascular disease (CVD) or are risk factors patients with cancer treatment are presenting with. Of note, both pre- and newly developing CVD is of prognostic significance, not only from a cardiovascular perspective but also overall, potentially impacting the level of cancer therapy that is possible. Currently, there are varying recommendations and practices regarding CVD risk assessment and mitigating strategies throughout the cancer continuum. This article provides an overview on this topic, in particular, the role of cardiac imaging in the care of the patient with cancer. Furthermore, it summarizes the current evidence on the spectrum, prevention, and management of chemotherapy-related adverse cardiac effects.
Scalia et al. (Wed,) conducted a review in Chemotherapy-related cardiotoxicity. Cardiac imaging and cardiovascular disease risk assessment was evaluated. This contemporary review summarizes current evidence on the spectrum, prevention, and management of chemotherapy-related adverse cardiac effects, highlighting the role of cardiac imaging.