Myocardial Dysfunction in Patients with Cancer

Heart Fail Clin. 2022 Jul;18(3):361-374. doi: 10.1016/j.hfc.2022.02.011.

Abstract

Myocardial dysfunction in patients with cancer is a major cause of morbidity and mortality. Cancer therapy-related cardiotoxicities are an important contributor to the development of cardiomyopathy in this patient population. Furthermore, cardiac AL amyloidosis, cardiac malignancies/metastases, accelerated atherosclerosis, stress cardiomyopathy, systemic and pulmonary hypertension are also linked to the development of myocardial dysfunction. Herein, we summarize current knowledge on the mechanisms of myocardial dysfunction in the setting of cancer and cancer-related therapies. Additionally, we briefly outline key recommendations on the surveillance and management of cancer therapy-related myocardial dysfunction based on the consensus of experts in the field of cardio-oncology.

Keywords: Cancer; Cancer therapy; Cardiotoxicity; Myocardial dysfunction.

Publication types

  • Review

MeSH terms

  • Amyloidosis* / complications
  • Antineoplastic Agents* / adverse effects
  • Cardiomyopathies* / chemically induced
  • Cardiotoxicity / etiology
  • Humans
  • Medical Oncology
  • Neoplasms* / drug therapy
  • Neoplasms* / therapy

Substances

  • Antineoplastic Agents