Cardiovascular considerations during cancer therapy: Gaps in evidence and JACC: CardioOncology expert panel recommendations Review


Authors: Leong, D. P.; Waliany, S.; Abdel-Qadir, H.; Atkins, K. M.; Neilan, T. G.; Lang, N. N.; Liu, J. E.; Blaes, A. H.; Mian, H. S.; Moore, H. N.; Hajjar, L. A.; Morgans, A. K.; Ellis, P. M.; Dent, S.
Review Title: Cardiovascular considerations during cancer therapy: Gaps in evidence and JACC: CardioOncology expert panel recommendations
Abstract: The administration of certain cancer therapies can be associated with the development of cardiovascular toxicity or complications. This spectrum of toxicities is broad and requires nuanced approaches for prevention, identification, and management. This expert panel summarizes the consensus of opinions of diverse health care professionals in several key areas: 1) cardioprotection involves strategies aimed at the primary prevention of cancer therapy–related cardiovascular toxicity; 2) surveillance entails monitoring for cancer therapy–related cardiovascular toxicity during cancer therapy; 3) permissive cardiotoxicity is the informed continuation of cancer therapy in the presence of cardiovascular toxicity, along with the implementation of mitigating cardiovascular treatments; and 4) special considerations include the invasive management of severe cardiovascular disease in patients receiving treatments for advanced cancer and the exploration of drug-drug interactions in cardio-oncology. In this expert panel, we also highlight gaps in evidence in an effort to continue to advance science in the cardiovascular care of our patients undergoing cancer therapy. © 2024 The Authors
Keywords: review; fluorouracil; advanced cancer; side effect; biomarkers; biological marker; practice guideline; cancer therapy; protein tyrosine kinase inhibitor; drug combination; cardiovascular disease; heart failure; cardiotoxicity; health care personnel; clinical practice guideline; drug therapy; echocardiography; tyrosine kinase inhibitor; anthracycline; guidelines; 5-fluorouracil; heart protection; adverse drug reaction; therapy; primary prevention; drug interaction; prevention; human; cardio-oncology; her2 therapy
Journal Title: JACC: CardioOncology
Volume: 6
Issue: 6
ISSN: 2666-0873
Publisher: American College of Cardiology  
Date Published: 2024-12-01
Start Page: 815
End Page: 834
Language: English
DOI: 10.1016/j.jaccao.2024.06.005
PROVIDER: scopus
PMCID: PMC11711816
PUBMED: 39801647
DOI/URL:
Notes: Source: Scopus
Altmetric
Citation Impact
BMJ Impact Analytics
MSK Authors
  1. Jennifer Liu
    118 Liu