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February 2, 2026Pharmacotherapy The Journal of Human Pharmacology and Drug Therapy2 citations

Cancer Therapy‐Induced Cardiotoxicity: A Narrative Review

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DWDrew A. WellsUniversity of Tennessee Health Science CenterZHZachery HalfordUnion UniversityKHKori HolmanMethodist Le Bonheur Healthcare

Key Result

Cancer therapies pose significant risks for cardiovascular events, creating a critical need for broader clinical familiarity with cardiotoxicity mechanisms and cardiovascular optimization strategies.

Key Points

  • The aim is to synthesize existing evidence regarding cancer therapy-induced cardiotoxicity and its implications.
  • Reviewed literature from clinical trials, meta-analyses, and clinical guidelines.
  • Examined definitions and mechanisms of cardiotoxicity.
  • Identified various therapeutic agents linked to cardiovascular events.
  • Discussed monitoring strategies and preventive measures.
  • Identified numerous agents, including newer oral chemotherapies, contributing to cardiotoxicity.
  • Highlighted a need for individualized monitoring due to varied toxicity profiles.
  • Noted insufficient cardio-oncology trial data for optimal prevention and treatment strategies.

PICO

P
Population
Cancer therapy-induced cardiotoxicity
E
Exposure / Comparator
Cancer therapy

Limitations

  • Lack of robust data from dedicated cardio-oncology trials to define optimal prevention and treatment

Abstract

ABSTRACT Cancer therapy‐induced cardiotoxicity (CTIC) is a significant clinical challenge in an era of rapidly evolving oncologic treatment. This comprehensive narrative review synthesizes evidence from clinical trials, meta‐analyses, and guidelines to examine the definitions, mechanisms, offending agents, and preventative strategies for CTIC. Numerous therapeutic agents, beyond traditional chemotherapy, pose significant risks for cardiovascular events such as arrhythmias, hypertension, myocardial dysfunction, and vascular complications. These varied toxicity profiles necessitate individualized monitoring strategies. Given the rising cancer incidence and the proliferation of novel oral chemotherapeutic agents taken at home, non‐oncology practitioners are increasingly likely to encounter patients with these cardiotoxicities. This creates a critical need for broader clinical familiarity with CTIC mechanisms and cardiovascular optimization strategies to mitigate long‐term morbidity. Although existing evidence helps guide risk stratification, significant questions remain. Robust data from dedicated cardio‐oncology trials, coupled with enhanced multidisciplinary collaboration, are urgently needed to define optimal prevention and treatment of CTIC for patients experiencing these serious adverse effects.

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Cite This Study

Wells et al. (2026) conducted a review in Cancer therapy-induced cardiotoxicity. Cancer therapy was evaluated. Cancer therapies pose significant risks for cardiovascular events, creating a critical need for broader clinical familiarity with cardiotoxicity mechanisms and cardiovascular optimization strategies.

synapsesocial.com/papers/6980fc91c1c9540dea80e669https://doi.org/10.1002/phar.70110
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