Tini Giacomo, Arcari Luca, Mistrulli Raffaella, Follesa Federico, Cianca Alessandro, Sclafani Matteo, Tocci Giuliano, Spallarossa Paolo, Battistoni Allegra, Cacciotti Luca, Musumeci Beatrice, Barbato Emanuele
Department of Clinical and Molecular Medicine, Sapienza University of Rome, Rome, Italy.
Cardiology Unit, Madre Giuseppina Vannini Hospital, Rome, Italy.
Front Cardiovasc Med. 2024 Jan 8;10:1301383. doi: 10.3389/fcvm.2023.1301383. eCollection 2023.
Takotsubo syndrome (TTS) is characterized by a transient left ventricular systolic dysfunction, burdened by significant acute and long-term mortality and morbidity. The prognosis of TTS, especially in the long-term, is influenced by both non-cardiovascular (non-CV) and CV comorbidities, among which cancer is one of the most common. The presence of a malignancy is proven to be associated with higher mortality in TTS. Moreover, a number of anticancer treatments has been reported to possibly cause TTS as a form of cardiotoxicity, even though clearcut associations are lacking. The aim of this narrative review is to sum up contemporary knowledge on the association of cancer and TTS, addressing unmet needs and practical implications. The importance of a close collaboration between cardiologists and oncologists is herein highlighted, both to allow an adequate management of the acute TTS phase, and to actively and safely return to the oncologic management once the acute setting is resolved.
应激性心肌病(TTS)的特征是短暂性左心室收缩功能障碍,伴有显著的急性和长期死亡率及发病率。TTS的预后,尤其是长期预后,受非心血管(非CV)和CV合并症的影响,其中癌症是最常见的合并症之一。已证实恶性肿瘤的存在与TTS的较高死亡率相关。此外,尽管缺乏明确的关联,但已有多项抗癌治疗被报道可能导致TTS作为一种心脏毒性形式。本叙述性综述的目的是总结关于癌症与TTS关联的当代知识,解决未满足的需求和实际意义。本文强调了心脏病专家和肿瘤学家密切合作的重要性,这既能充分管理急性TTS阶段,又能在急性情况解决后积极且安全地恢复肿瘤管理。