Cardiotoxicity of Contemporary Breast Cancer Treatments
- PMID: 31073788
- PMCID: PMC7306973
- DOI: 10.1007/s11864-019-0646-1
Cardiotoxicity of Contemporary Breast Cancer Treatments
Abstract
Treatment-related cardiotoxicity remains a significant concern for breast cancer patients undergoing cancer treatment and extends into the survivorship period, with adverse cardiovascular (CV) outcomes further compounded by the presence of pre-existing CV disease or traditional CV risk factors. Awareness of the cardiotoxicity profiles of contemporary breast cancer treatments and optimization of CV risk factors are crucial in mitigating cardiotoxicity risk. Assessment of patient- and treatment-specific risk with appropriate CV surveillance is another key component of care. Mismatch between baseline cardiotoxicity risk and intensity of cardiotoxicity surveillance can lead to unnecessary downstream testing, increased healthcare expenditure, and interruption or discontinuation of potentially life-saving treatment. Efforts to identify early imaging and/or circulating biomarkers of cardiotoxicity and develop effective management strategies are needed to optimize the CV and cancer outcomes of breast cancer survivors.
Keywords: Breast cancer; Cardio-oncology; Cardiotoxicity.
Conflict of interest statement
Conflict of Interest
Katherine Lee Chuy declares that she has no conflict of interest.
Anthony F. Yu has received compensation from Glenmark Pharmaceuticals, Takeda Oncology, Bristol-Myers Squibb, and Bayer for service as a consultant.
References
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- Mehta LS, Watson KE, Barac A, Beckie TM, Bittner V, Cruz-Flores S, et al. Cardiovascular disease and breast cancer: where these entities intersect: a scientific statement from the American Heart Association. Circulation. 2018;137(8):e30–66. 10.1161/CIR.0000000000000556 - DOI - PMC - PubMed
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This is the first American Heart Association scientific statement providing a comprehensive evidence-based discussion on the association between breast cancer and CVD.
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- Hershman DL, Till C, Shen S, Wright JD, Ramsey SD, Barlow WE, et al. Association of cardiovascular risk factors with cardiac events and survival outcomes among patients with breast cancer enrolled in SWOG Clinical Trials. J Clin Oncol. 2018;36(26):2710–7. 10.1200/JCO,10.1200/JCO.2017. - DOI - PMC - PubMed
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