Department of Oncology and Hematology, University of Milano, Milan, Italy.
Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC.
JCO Oncol Pract. 2024 Jan;20(1):38-46. doi: 10.1200/OP.23.00494. Epub 2023 Nov 20.
Cancer and cardiovascular diseases are the two major causes of mortality, morbidity, and disability worldwide. The improvement in effective therapeutic options for the management of breast cancer (BC) has led to an increased number of BC survivors, who can experience long-term toxicities from cancer treatments. Adverse events including cardiovascular toxicities must be considered in light of effectiveness of recently approved drugs for BC treatment, including elacestrant, tucatinib, neratinib, olaparib, the immune checkpoint inhibitors, trastuzumab deruxtecan, or sacituzumab govitecan. Many cancer drugs affect the cardiovascular system with a range of clinical manifestations. Prompt diagnosis and treatment as well as a multidisciplinary approach involving a cardio-oncologist is optimal for management of these cardiovascular events.
癌症和心血管疾病是全球范围内导致死亡、发病和残疾的两个主要原因。乳腺癌(BC)治疗的有效治疗选择的改进导致了越来越多的 BC 幸存者,他们可能会经历癌症治疗的长期毒性。鉴于最近批准的 BC 治疗药物的有效性,包括 elacestrant、tucatinib、neratinib、olaparib、免疫检查点抑制剂、trastuzumab deruxtecan 或 sacituzumab govitecan,必须考虑包括心血管毒性在内的不良事件。许多癌症药物会影响心血管系统,表现出多种临床表现。及时诊断和治疗以及涉及心脏病专家的多学科方法是管理这些心血管事件的最佳方法。