Cardio-oncological management of patients

Semin Oncol. 2019 Dec;46(6):408-413. doi: 10.1053/j.seminoncol.2019.11.002. Epub 2019 Nov 19.

Abstract

Session III of the Second International Colloquium on Cardio-Oncology focused on the diagnosis, management, and prevention of cardiovascular toxicity of cancer drugs. With a large menu of biomarkers and imaging modalities available to the cardio oncologist, there continues to be no consensus regarding the best use of each modality alone and in combination and whether we can actually prevent early and late cardiotoxicity using these tests to guide a preventive strategy. It has become increasingly clear that early diagnosis and intervention leads to less late cardiotoxicity and fewer cardiac-related events. This can be accomplished by taking a thorough history and performing a goal directed physical examination coupled with use of biomarkers and imaging studies. This session attempted to provide rationale for a current and integrated approach to these issues.

Keywords: Cancer drugs; Cardiovascular toxicity; Imaging; Prevention; Risk; Treatment.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents / adverse effects*
  • Antineoplastic Agents / therapeutic use
  • Antineoplastic Combined Chemotherapy Protocols / adverse effects*
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Cardiotoxicity
  • Cardiovascular Diseases / diagnosis
  • Cardiovascular Diseases / etiology*
  • Cardiovascular Diseases / prevention & control
  • Cardiovascular Diseases / therapy
  • Disease Management
  • Humans
  • Medical Oncology* / methods
  • Medical Oncology* / standards
  • Molecular Targeted Therapy / adverse effects
  • Molecular Targeted Therapy / methods
  • Neoplasms / complications*
  • Neoplasms / therapy

Substances

  • Antineoplastic Agents