Managing the risks of cardiac therapy in cancer patients Journal Article


Authors: Chen, C. L.; Parameswaran, R.
Article Title: Managing the risks of cardiac therapy in cancer patients
Abstract: The purpose of this review was to highlight the more commonly used cardiac medications that should be closely monitored or possibly discontinued during cancer therapy. Often, older cancer patients are taking multiple pharmacotherapy agents for the treatment or prevention of cardiac disease when they face decisions about cancer treatment. Concurrent administration of drugs can result either in increased toxicity or decreased efficacy of either therapy. The benefits of the cardiac medications must be weighed against the effects of cancer therapy, and the role of drug metabolism also must be considered. For example, the benefits of cardiac medications such as anti-platelet agents, important in treating coronary artery disease, and anti-thrombotic agents, important for stroke prevention in atrial fibrillation, must be evaluated against an increased risk of bleeding during cancer therapy. It should be noted that some cardiac medications which act on hormonal receptors can theoretically stimulate growth of certain cancers. The concomitant management of cardiac therapy and cancer therapy is a common challenge in today's aging population. Semin Oncol. © 2013 Elsevier Inc.
Keywords: fluorouracil; drug efficacy; side effect; capecitabine; cancer patient; imatinib; bleeding; heart disease; deep vein thrombosis; cancer therapy; prothrombin time; acetylsalicylic acid; warfarin; tamoxifen; antihypertensive agent; abiraterone acetate; spironolactone; embolism; drug therapy; heart atrium fibrillation; hydroxymethylglutaryl coenzyme a reductase inhibitor; verapamil; coronary artery disease; antithrombocytic agent; cerebrovascular accident; antiarrhythmic agent; low molecular weight heparin; venous thromboembolism; anticoagulant agent; rivaroxaban; amiodarone; acute coronary syndrome; flecainide; quinidine; dabigatran
Journal Title: Seminars in Oncology
Volume: 40
Issue: 2
ISSN: 0093-7754
Publisher: Elsevier Inc.  
Date Published: 2013-04-01
Start Page: 210
End Page: 217
Language: English
PROVIDER: scopus
PUBMED: 23540746
DOI: 10.1053/j.seminoncol.2013.01.006
DOI/URL:
Notes: --- - "Export Date: 1 May 2013" - "CODEN: SOLGA" - ":doi 10.1053/j.seminoncol.2013.01.006" - ": Chemicals/CASabiraterone acetate, 154229-18-2; acetylsalicylic acid, 493-53-8, 50-78-2, 53663-74-4, 53664-49-6, 63781-77-1; amiodarone, 1951-25-3, 19774-82-4, 62067-87-2; capecitabine, 154361-50-9; flecainide, 54143-55-4; fluorouracil, 51-21-8; imatinib, 152459-95-5, 220127-57-1; quinidine, 56-54-2; rivaroxaban, 366789-02-8; spironolactone, 52-01-7; tamoxifen, 10540-29-1; verapamil, 152-11-4, 52-53-9; warfarin, 129-06-6, 2610-86-8, 3324-63-8, 5543-58-8, 81-81-2" - "Source: Scopus"
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  1. Carol Chen
    41 Chen