Applied Cardio-Oncology in Hematological Malignancies: A Narrative Review

Life (Basel). 2024 Apr 18;14(4):524. doi: 10.3390/life14040524.

Abstract

Applied cardio-oncology in hematological malignancies refers to the integration of cardiovascular care and management for patients with blood cancer, particularly leukemia, lymphoma, and multiple myeloma. Hematological cancer therapy-related cardiotoxicity deals with the most common cardiovascular complications of conventional chemotherapy, targeted therapy, immunotherapy, chimeric antigen receptor T (CAR-T) cell and tumor-infiltrating lymphocyte therapies, bispecific antibodies, and hematopoietic stem cell transplantation. This narrative review focuses on hematological cancer-therapy-related cardiotoxicity's definition, risk stratification, multimodality imaging, and use of cardiac biomarkers to detect clinical and/or subclinical myocardial dysfunction and electrical instability. Moreover, the most common cardiotoxic profiles of the main drugs and/or therapeutic interventions in patients with hematological malignancies are described thoroughly.

Keywords: cardio-oncology; cardiotoxicity; hematological malignancies; multimodality imaging; myocardial dysfunction.

Publication types

  • Review

Grants and funding

This research received no external funding.