Breast cancer and cardiovascular health Review


Authors: López-Fernández, T.; Marco, I.; Aznar, M. C.; Barac, A.; Bergler-Klein, J.; Meattini, I.; Scott, J. M.; Cardinale, D.; Dent, S.
Review Title: Breast cancer and cardiovascular health
Abstract: Modern cancer therapies greatly improve clinical outcomes for both early and advanced breast cancer patients. However, these advances have raised concerns about potential short- and long-term toxicities, including cardiovascular toxicities. Therefore, understanding the common risk factors and underlying pathophysiological mechanisms contributing to cardiovascular toxicity is essential to ensure best breast cancer outcomes. While cardio-oncology has emerged as a sub-speciality to address these challenges, it is essential that all cardiologists recognize and understand the cardiovascular consequences of cancer therapy. This review aims to provide a comprehensive overview of the potential adverse cardiovascular effects associated with modern breast cancer therapies. A preventive, diagnostic, and therapeutic workflow to minimize the impact of cardiovascular toxicity on patient outcomes is presented. Key aspects of this workflow include regular monitoring of cardiovascular function, early detection and management of cancer therapy-related cardiovascular toxicities, and optimization of cardiovascular risk factor control. By highlighting the gaps in knowledge in some areas, this review aims to emphasize the critical role of cardio-oncology research in ensuring the holistic well-being of patients with breast cancer. © The Author(s) 2024. Published by Oxford University Press on behalf of the European Society of Cardiology. All rights reserved.
Keywords: treatment outcome; review; nonhuman; side effect; antineoplastic agents; cancer patient; chemotherapy; antineoplastic agent; breast cancer; radiotherapy; risk factors; exercise; breast neoplasms; risk factor; cardiovascular disease; cardiovascular diseases; cardiotoxicity; breast tumor; drug therapy; adverse drug reaction; therapy; prevention and control; prevention; etiology; cardiovascular effect; clinical outcome; workflow; advanced breast cancer; humans; human; female; cardiovascular function; cardio-oncology; cardiologist; women health
Journal Title: European Heart Journal
Volume: 45
Issue: 41
ISSN: 0195-668X
Publisher: Oxford University Press  
Date Published: 2024-11-01
Start Page: 4366
End Page: 4382
Language: English
DOI: 10.1093/eurheartj/ehae637
PUBMED: 39320463
PROVIDER: scopus
DOI/URL:
Notes: Review -- MSK Cancer Center Support Grant (P30 CA008748) acknowledged in PubMed and PDF -- Source: Scopus
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  1. Jessica M Scott
    69 Scott