Non-invasive cardiac imaging for evaluation of cardiotoxicity in cancer patients - early detection and follow-up

Cardiotoxicity is an increasingly important clinical entity that occurs as a result of untoward, and incompletely understood, effects on cardiac function. It is primarily caused by the anthracycline agents (doxorubicin, daunorubicin) but has also been observed with monoclonal antibody agents such as...

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Autores principales: Gabriel Vorobiof, Cheri Silverstein
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Publicado: South African Heart Association 2017
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Acceso en línea:https://doaj.org/article/da5479581fcd4cb0840c87c8d24f1fbb
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spelling oai:doaj.org-article:da5479581fcd4cb0840c87c8d24f1fbb2021-11-29T13:11:16ZNon-invasive cardiac imaging for evaluation of cardiotoxicity in cancer patients - early detection and follow-up10.24170/9-4-18291996-67412071-4602https://doaj.org/article/da5479581fcd4cb0840c87c8d24f1fbb2017-04-01T00:00:00Zhttps://www.journals.ac.za/index.php/SAHJ/article/view/1829https://doaj.org/toc/1996-6741https://doaj.org/toc/2071-4602Cardiotoxicity is an increasingly important clinical entity that occurs as a result of untoward, and incompletely understood, effects on cardiac function. It is primarily caused by the anthracycline agents (doxorubicin, daunorubicin) but has also been observed with monoclonal antibody agents such as trastuzumab and small molecule tyrosine kinase inhibitors. The most feared net result of these agents is left ventricular (LV) dysfunction resulting in symptomatic congestive heart failure (CHF). Other manifestations can include arrhythmias, pericardial constriction, valvulopathy and hypertension. Standard cardiac imaging techniques have largely focused on LV ejection fraction (LVEF) quantification. Contemporary cardiac imaging technologies now exist that are capable of evaluating for and detecting earlier stages of cardiotoxicity, including those which occur prior to changes in LVEF. Therapeutic algorithms have been devised to tailor chemotherapeutic regimens based on these results and have resulted in a dramatically reduced incidence of overt CHF.Gabriel VorobiofCheri SilversteinSouth African Heart Associationarticlecardiotoxicitynon-invasive cardiac imagingcancerDiseases of the circulatory (Cardiovascular) systemRC666-701ENSA Heart Journal, Vol 9, Iss 4, Pp 264-273 (2017)
institution DOAJ
collection DOAJ
language EN
topic cardiotoxicity
non-invasive cardiac imaging
cancer
Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle cardiotoxicity
non-invasive cardiac imaging
cancer
Diseases of the circulatory (Cardiovascular) system
RC666-701
Gabriel Vorobiof
Cheri Silverstein
Non-invasive cardiac imaging for evaluation of cardiotoxicity in cancer patients - early detection and follow-up
description Cardiotoxicity is an increasingly important clinical entity that occurs as a result of untoward, and incompletely understood, effects on cardiac function. It is primarily caused by the anthracycline agents (doxorubicin, daunorubicin) but has also been observed with monoclonal antibody agents such as trastuzumab and small molecule tyrosine kinase inhibitors. The most feared net result of these agents is left ventricular (LV) dysfunction resulting in symptomatic congestive heart failure (CHF). Other manifestations can include arrhythmias, pericardial constriction, valvulopathy and hypertension. Standard cardiac imaging techniques have largely focused on LV ejection fraction (LVEF) quantification. Contemporary cardiac imaging technologies now exist that are capable of evaluating for and detecting earlier stages of cardiotoxicity, including those which occur prior to changes in LVEF. Therapeutic algorithms have been devised to tailor chemotherapeutic regimens based on these results and have resulted in a dramatically reduced incidence of overt CHF.
format article
author Gabriel Vorobiof
Cheri Silverstein
author_facet Gabriel Vorobiof
Cheri Silverstein
author_sort Gabriel Vorobiof
title Non-invasive cardiac imaging for evaluation of cardiotoxicity in cancer patients - early detection and follow-up
title_short Non-invasive cardiac imaging for evaluation of cardiotoxicity in cancer patients - early detection and follow-up
title_full Non-invasive cardiac imaging for evaluation of cardiotoxicity in cancer patients - early detection and follow-up
title_fullStr Non-invasive cardiac imaging for evaluation of cardiotoxicity in cancer patients - early detection and follow-up
title_full_unstemmed Non-invasive cardiac imaging for evaluation of cardiotoxicity in cancer patients - early detection and follow-up
title_sort non-invasive cardiac imaging for evaluation of cardiotoxicity in cancer patients - early detection and follow-up
publisher South African Heart Association
publishDate 2017
url https://doaj.org/article/da5479581fcd4cb0840c87c8d24f1fbb
work_keys_str_mv AT gabrielvorobiof noninvasivecardiacimagingforevaluationofcardiotoxicityincancerpatientsearlydetectionandfollowup
AT cherisilverstein noninvasivecardiacimagingforevaluationofcardiotoxicityincancerpatientsearlydetectionandfollowup
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