Cardiac toxicity in breast cancer patients: from a fractional point of view to a global assessment.

Abstract:

:When focusing on heart disease, most available studies split the two different parts of the adjuvant treatment, i.e., systemic therapies and radiation therapy, making it difficult to implement efficient strategies for preventing treatment-induced cardiac toxicity. This paper reviews the current understanding of treatments-induced cardiac toxicity in a global approach. Many factors should be considered when assessing the cardiac hazard. Treatment-related risk factors include heart dose exposure, chemotherapy, targeted agents such as HER2 inhibitors, but also endocrine agents, or anesthetic procedure. Patients' characteristics should also be taken into account. Age, menopausal status, stress, previous history of cardiac disease, genetic profile, and body mass index could all impact on cardiac function after adjuvant therapies. Cardiac toxicity should not be analyzed as the consequence of a specific therapy, but should be considered as the result of additive or supra-additive toxicities. By this way, it will be possible to implement new strategies for preventing treatment-induced cardiac toxicity.

journal_name

Cancer Treat Rev

journal_title

Cancer treatment reviews

authors

Chargari C,Kirov KM,Bollet MA,Magné N,Védrine L,Cremades S,Beuzeboc P,Fourquet A,Kirova YM

doi

10.1016/j.ctrv.2010.08.007

subject

Has Abstract

pub_date

2011-06-01 00:00:00

pages

321-30

issue

4

eissn

0305-7372

issn

1532-1967

pii

S0305-7372(10)00142-8

journal_volume

37

pub_type

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