Cardio-oncology Related to Heart Failure: Pediatric Considerations for Cardiac Dysfunction

Heart Fail Clin. 2017 Apr;13(2):311-325. doi: 10.1016/j.hfc.2016.12.007.

Abstract

Although tremendous advances in pediatric cancer treatment have improved the survival of many children, these patients remain at increased risk of early morbidity and mortality with cardiovascular disease as a leading cause of death. Heightened awareness in providers with increased surveillance and improvement in cardiovascular imaging modalities have led to earlier detection of cardiac dysfunction, but the outcomes remain poor once this has dysfunction developed. A great deal of work remains to be done to refine screening and identify high-risk patients more precisely, and to develop more evidence-based strategies for effective primary and secondary cardioprotection and treatment.

Keywords: Anthracyclines; Cardiac dysfunction; Cardiotoxicity; Childhood cancer survivors.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents / adverse effects*
  • Antineoplastic Agents / therapeutic use
  • Child
  • Evidence-Based Medicine
  • Heart Failure / chemically induced
  • Heart Failure / prevention & control*
  • Humans
  • Neoplasms / complications
  • Neoplasms / drug therapy
  • Neoplasms / rehabilitation*
  • Survivors
  • Ventricular Function, Left / drug effects

Substances

  • Antineoplastic Agents