Myocardial Ischemia Related to Common Cancer Therapy—Prevention Insights

Modern antineoplastic therapy improves survival and quality of life in cancer patients, but its indisputable benefits are accompanied by multiple and major side effects, such as cardiovascular ones. Endothelial dysfunction, arterial spasm, intravascular thrombosis, and accelerated atherosclerosis af...

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Main Authors: Minerva Codruta Badescu, Oana Viola Badulescu, Dragos Viorel Scripcariu, Lăcrămioara Ionela Butnariu, Iris Bararu-Bojan, Diana Popescu, Manuela Ciocoiu, Eusebiu Vlad Gorduza, Irina Iuliana Costache, Elena Rezus, Ciprian Rezus
Format: Article
Language:English
Published: MDPI AG 2022-07-01
Series:Life
Subjects:
Online Access:https://www.mdpi.com/2075-1729/12/7/1034
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author Minerva Codruta Badescu
Oana Viola Badulescu
Dragos Viorel Scripcariu
Lăcrămioara Ionela Butnariu
Iris Bararu-Bojan
Diana Popescu
Manuela Ciocoiu
Eusebiu Vlad Gorduza
Irina Iuliana Costache
Elena Rezus
Ciprian Rezus
author_facet Minerva Codruta Badescu
Oana Viola Badulescu
Dragos Viorel Scripcariu
Lăcrămioara Ionela Butnariu
Iris Bararu-Bojan
Diana Popescu
Manuela Ciocoiu
Eusebiu Vlad Gorduza
Irina Iuliana Costache
Elena Rezus
Ciprian Rezus
author_sort Minerva Codruta Badescu
collection DOAJ
description Modern antineoplastic therapy improves survival and quality of life in cancer patients, but its indisputable benefits are accompanied by multiple and major side effects, such as cardiovascular ones. Endothelial dysfunction, arterial spasm, intravascular thrombosis, and accelerated atherosclerosis affect the coronary arteries, leading to acute and chronic coronary syndromes that negatively interfere with the oncologic treatment. The cardiac toxicity of antineoplastic agents may be mitigated by using adequate prophylactic measures. In the absence of dedicated guidelines, our work provides the most comprehensive, systematized, structured, and up-to-date analyses of the available literature focusing on measures aiming to protect the coronary arteries from the toxicity of cancer therapy. Our work facilitates the implementation of these measures in daily practice. The ultimate goal is to offer clinicians the necessary data for a personalized therapeutic approach for cancer patients receiving evidence-based oncology treatments with potential cardiovascular toxicity.
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spelling doaj.art-36a3a0e4cd9b4602b8243e1aff1bf1042023-12-03T15:18:46ZengMDPI AGLife2075-17292022-07-01127103410.3390/life12071034Myocardial Ischemia Related to Common Cancer Therapy—Prevention InsightsMinerva Codruta Badescu0Oana Viola Badulescu1Dragos Viorel Scripcariu2Lăcrămioara Ionela Butnariu3Iris Bararu-Bojan4Diana Popescu5Manuela Ciocoiu6Eusebiu Vlad Gorduza7Irina Iuliana Costache8Elena Rezus9Ciprian Rezus10Department of Internal Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 16 University Street, 700115 Iasi, RomaniaDepartment of Pathophysiology, “Grigore T. Popa” University of Medicine and Pharmacy, 16 University Street, 700115 Iasi, RomaniaSurgery Department, “Grigore T. Popa” University of Medicine and Pharmacy, 16 University Street, 700115 Iasi, RomaniaDepartment of Mother and Child Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, RomaniaDepartment of Pathophysiology, “Grigore T. Popa” University of Medicine and Pharmacy, 16 University Street, 700115 Iasi, RomaniaDepartment of Internal Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 16 University Street, 700115 Iasi, RomaniaDepartment of Pathophysiology, “Grigore T. Popa” University of Medicine and Pharmacy, 16 University Street, 700115 Iasi, RomaniaDepartment of Mother and Child Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, RomaniaDepartment of Internal Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 16 University Street, 700115 Iasi, RomaniaDepartment of Rheumatology and Physiotherapy, “Grigore T. Popa” University of Medicine and Pharmacy, 16 University Street, 700115 Iasi, RomaniaDepartment of Internal Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 16 University Street, 700115 Iasi, RomaniaModern antineoplastic therapy improves survival and quality of life in cancer patients, but its indisputable benefits are accompanied by multiple and major side effects, such as cardiovascular ones. Endothelial dysfunction, arterial spasm, intravascular thrombosis, and accelerated atherosclerosis affect the coronary arteries, leading to acute and chronic coronary syndromes that negatively interfere with the oncologic treatment. The cardiac toxicity of antineoplastic agents may be mitigated by using adequate prophylactic measures. In the absence of dedicated guidelines, our work provides the most comprehensive, systematized, structured, and up-to-date analyses of the available literature focusing on measures aiming to protect the coronary arteries from the toxicity of cancer therapy. Our work facilitates the implementation of these measures in daily practice. The ultimate goal is to offer clinicians the necessary data for a personalized therapeutic approach for cancer patients receiving evidence-based oncology treatments with potential cardiovascular toxicity.https://www.mdpi.com/2075-1729/12/7/1034accelerated atherosclerosiscoronary spasmcoronary thrombosisendothelial dysfunctioncancerprevention
spellingShingle Minerva Codruta Badescu
Oana Viola Badulescu
Dragos Viorel Scripcariu
Lăcrămioara Ionela Butnariu
Iris Bararu-Bojan
Diana Popescu
Manuela Ciocoiu
Eusebiu Vlad Gorduza
Irina Iuliana Costache
Elena Rezus
Ciprian Rezus
Myocardial Ischemia Related to Common Cancer Therapy—Prevention Insights
Life
accelerated atherosclerosis
coronary spasm
coronary thrombosis
endothelial dysfunction
cancer
prevention
title Myocardial Ischemia Related to Common Cancer Therapy—Prevention Insights
title_full Myocardial Ischemia Related to Common Cancer Therapy—Prevention Insights
title_fullStr Myocardial Ischemia Related to Common Cancer Therapy—Prevention Insights
title_full_unstemmed Myocardial Ischemia Related to Common Cancer Therapy—Prevention Insights
title_short Myocardial Ischemia Related to Common Cancer Therapy—Prevention Insights
title_sort myocardial ischemia related to common cancer therapy prevention insights
topic accelerated atherosclerosis
coronary spasm
coronary thrombosis
endothelial dysfunction
cancer
prevention
url https://www.mdpi.com/2075-1729/12/7/1034
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