Key result
Cancer therapies, particularly 5-FU and ICIs, are linked to increased Takotsubo cardiomyopathy risk.
Why the study?
Takotsubo cardiomyopathy is a complex condition that may go undetected during cancer treatment due to diverse cardiotoxic effects of antineoplastic therapies, and its prevalence in oncology is higher than previously believed.
Does cancer medication cause Takotsubo cardiomyopathy in cancer patients?
Systematic Review
Does cancer medication cause Takotsubo cardiomyopathy in cancer patients?
This review highlights the importance of recognizing Takotsubo cardiomyopathy as a potential cardiotoxic effect of cancer medications to improve patient management.
Supports multidisciplinary monitoring for Takotsubo cardiomyopathy during cancer therapy; leaves open causality and needs prospective confirmation.
Takotsubo cardiomyopathy (TCM) is a cardiac condition that is usually characterized by sudden heart failure (HF) or chest pain that resembles acute coronary syndrome (ACS). It is identified by severe systolic dysfunction of the left ventricle (LV) and can be caused by physical, medical, or emotional stress. The pathophysiological mechanisms leading to TCM have not yet been clearly determined. TCM is a complex condition to diagnose and may go undetected during cancer treatment due to the wide variety of cardiotoxic effects associated with antineoplastic therapies. Consequently, timely identification and effective treatment are critical to enhancing the prognosis. Nevertheless, TCM is a more prevalent condition in oncology than was previously believed; therefore, clinicians who treat cancer patients should consider it in their differential diagnosis. The purpose of this manuscript is to provide physicians with a summary of the available evidence regarding the ramifications of the association between TCM and cancer to aid in improving patient management.
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On Chen (2024) conducted a systematic review in Takotsubo cardiomyopathy in cancer patients. Cancer medication was evaluated. Cancer medications, particularly 5-fluorouracil and immune checkpoint inhibitors, are associated with an increased risk of developing Takotsubo cardiomyopathy, necessitating careful multidisciplinary management.
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