Cardiologic evaluation of patients undergoing chemoterapy

https://doi.org/10.4081/monaldi.2014.46

Authors

  • Barbara Bordoni | stefano.urbinati@ausl.bo.it UOC Cardiologia, Ospedale Bellaria, Bologna, Italy.
  • Stefano Urbinati UOC Cardiologia, Ospedale Bellaria, Bologna, Italy.
  • Alicia Tosoni UOC Oncologia, Ospedale Bellaria, Bologna, Italy.
  • Graziana Labanti UOC Cardiologia, Ospedale Bellaria, Bologna, Italy.
  • Alba Brandes UOC Oncologia, Ospedale Bellaria, Bologna, Italy.

Abstract

Life expectancy in patients affected by cancer has recently increased because of early diagnosis and actual therapies. In recent years, Oncology and Cardiology developed a tight relationship because of common risk factors (i.e. obesity, smoking, alcool intake, etc…), and for preventing the prothrombotic status due to cancer and the potential cardiotoxicity of chemotherapy. Cardiotoxicity incidence is reported from 1% up to 70% in retrospective analyses of drug protocols, mainly representing by left ventricular dysfunction (both reversible or irreversible), but also by arrhythmias, hypertension, atrioventricular block, coronary spasm, and arterial or venous thromboembolism. The early detection of the chemoterapy induced cardiotoxicity is now mandatory and can be obtained through a proper patients selection for different treatments and a strict monitoring during the follow-up period. The role of biomarkers of early cardiac damage, mainly, troponin I and brain natriuretic peptide-BNP, has been recently challenged, and algorithms are currently available. In the present paper, we propose how to perform a cardiological evaluation of patients undergoing chemoterapy tailored by the known adverse effects of the drugs.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Downloads

Published
2015-08-20
Info
Issue
Section
Original Articles
Keywords:
cardiotoxicity, cardioncology, cardiological follow-up of oncologic patients
Statistics
  • Abstract views: 797

  • PDF: 548
How to Cite
Bordoni, Barbara, Stefano Urbinati, Alicia Tosoni, Graziana Labanti, and Alba Brandes. 2015. “Cardiologic Evaluation of Patients Undergoing Chemoterapy”. Monaldi Archives for Chest Disease 82 (2). https://doi.org/10.4081/monaldi.2014.46.

Most read articles by the same author(s)