Department of Cardiology, Policlinico P. Giaccone, University of Palermo, Via del Vespro 129, 90127, Palermo, Italy.
Cardiovasc Toxicol. 2012 Jun;12(2):93-107. doi: 10.1007/s12012-011-9141-z.
Both conventional and new anticancer drugs can frequently cause adverse cardiovascular effects, which can span from subclinical abnormalities to serious life-threatening and sometimes fatal events. This review examines the principal basic and clinical elements that may be of profit to identify, prevent and treat such toxicities. Clearly, the accomplishment of such objectives requires the strong commitment and cooperation of different professional figures including, but not limited to, pharmacologists, oncologists and cardiologists. The aspect of anticancer drug cardiotoxicity seems to be somehow underestimated, mainly due to inadequate reporting of adverse reactions from oncology drugs in the post-marketing setting. Thus, the implementation of pharmacovigilance is indispensable to rapidly and fully assess the safety of newer agents in real-life patients.
传统和新型抗癌药物均可频繁导致不良心血管效应,其范围可从亚临床异常至严重威胁生命乃至有时致命的事件。本文综述了有助于识别、预防和治疗这些毒性的主要基础和临床因素。显然,要实现这些目标,需要不同专业人员(包括但不限于药理学家、肿瘤学家和心脏病学家)的大力承诺和合作。抗癌药物心脏毒性的方面似乎被低估了,主要是由于在上市后环境中对肿瘤药物不良反应的报告不充分。因此,实施药物警戒对于在真实患者中快速和全面评估新型药物的安全性是不可或缺的。