Cancer therapy-related cardiac dysfunction and heart failure: Part 2: Prevention, treatment, guidelines, and future directions

Carine E. Hamo, Michelle W. Bloom, Daniela Cardinale, Bonnie Ky, Anju Nohria, Lea Baer, Hal Skopicki, Daniel J. Lenihan, Mihai Gheorghiade, Alexander R. Lyon, Javed Butler

Research output: Contribution to journalArticle

Abstract

Success with oncologic treatment has allowed cancer patients to experience longer cancer-free survival gains. Unfortunately, this success has been tempered by unintended and often devastating cardiac complications affecting overall patient outcomes. Cardiac toxicity, specifically the association of several cancer therapy agents with the development of left ventricular dysfunction and cardiomyopathy, is an issue of growing concern. Although the pathophysiologic mechanisms behind cardiac toxicity have been characterized, there is currently no evidence-based approach for monitoring and management of these patients. In the first of a 2-part review, we discuss the epidemiologic, pathophysiologic, risk factors, and imaging aspects of cancer therapy-related cardiac dysfunction and heart failure. In this second part, we discuss the prevention and treatment aspects in these patients and conclude with highlighting the evidence gaps and future directions for research in this area.

Original languageEnglish
Article numbere002843
JournalCirculation: Heart Failure
Volume9
Issue number2
DOIs
Publication statusPublished - Feb 1 2016

Keywords

  • Cardiomyopathies
  • Cardiotoxicity
  • Heart
  • Heart failure
  • Trastuzumab

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Hamo, C. E., Bloom, M. W., Cardinale, D., Ky, B., Nohria, A., Baer, L., Skopicki, H., Lenihan, D. J., Gheorghiade, M., Lyon, A. R., & Butler, J. (2016). Cancer therapy-related cardiac dysfunction and heart failure: Part 2: Prevention, treatment, guidelines, and future directions. Circulation: Heart Failure, 9(2), [e002843]. https://doi.org/10.1161/CIRCHEARTFAILURE.115.002843