Cardiovascular Oncologic Emergencies

Cardiology. 2017;138(3):147-158. doi: 10.1159/000475491. Epub 2017 Jun 28.

Abstract

Oncologic emergencies can present either as a progression of a known cancer or as the initial presentation of a previously undiagnosed cancer. In most of these situations, a very high degree of suspicion is required to allow prompt assessment, diagnosis, and treatment. In this article, we review the presentation and management of cardiovascular oncologic emergencies from primary and metastatic tumors of the heart and complications such as pericardial tamponade, superior vena cava syndrome, and hyperviscosity syndrome. We have included the cardiovascular complications from radiation therapy, chemotherapeutic agents, and biologic agents used in modern cancer treatment.

Keywords: Cardiac tumors; Cardio-oncology; Hyperviscosity syndrome; Pericardial tamponade; Superior vena cava syndrome.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents / therapeutic use
  • Biological Factors / therapeutic use
  • Blood Viscosity*
  • Cardiac Tamponade / diagnostic imaging*
  • Cardiac Tamponade / mortality
  • Cardiac Tamponade / therapy
  • Critical Care
  • Echocardiography, Doppler
  • Emergencies*
  • Heart Neoplasms / complications*
  • Heart Neoplasms / therapy*
  • Humans
  • Radiotherapy
  • Superior Vena Cava Syndrome / diagnosis
  • Superior Vena Cava Syndrome / therapy

Substances

  • Antineoplastic Agents
  • Biological Factors