Review of Cardiovascular Risk of Androgen Deprivation Therapy and the Influence of Race in Men with Prostate Cancer

Androgen deprivation therapy is the cornerstone of prostate cancer therapy. Recent studies have revealed an association between androgen deprivation therapy and cardiovascular adverse effects such as myocardial infarction and stroke. This review summarizes the available research on the cardiovascula...

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Main Authors: James Fradin, Felix J. Kim, Grace L. Lu-Yao, Eugene Storozynsky, William K. Kelly
Format: Article
Language:English
Published: MDPI AG 2023-04-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/15/8/2316
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author James Fradin
Felix J. Kim
Grace L. Lu-Yao
Eugene Storozynsky
William K. Kelly
author_facet James Fradin
Felix J. Kim
Grace L. Lu-Yao
Eugene Storozynsky
William K. Kelly
author_sort James Fradin
collection DOAJ
description Androgen deprivation therapy is the cornerstone of prostate cancer therapy. Recent studies have revealed an association between androgen deprivation therapy and cardiovascular adverse effects such as myocardial infarction and stroke. This review summarizes the available research on the cardiovascular risk of men using androgen deprivation therapy. We also discuss racial disparities surrounding both prostate cancer and cardiovascular disease, emphasizing the importance of biological/molecular and socioeconomic factors in assessing baseline risk in patients beginning androgen ablation. Based on the literature, we provide recommendations for monitoring patients who are at high risk for a cardiovascular adverse event while being treated on androgen deprivation therapy. This review aims to present the current research on androgen deprivation therapy and cardiovascular toxicity with an emphasis on racial disparities and provides a framework for clinicians to decrease the cardiovascular morbidity in men that are being treated with hormone therapy.
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spelling doaj.art-7a1053a9c100400abc0afec9a9ded08a2023-11-17T18:39:18ZengMDPI AGCancers2072-66942023-04-01158231610.3390/cancers15082316Review of Cardiovascular Risk of Androgen Deprivation Therapy and the Influence of Race in Men with Prostate CancerJames Fradin0Felix J. Kim1Grace L. Lu-Yao2Eugene Storozynsky3William K. Kelly4Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA 19107, USADepartment of Pharmacology, Physiology, and Cancer Biology, Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA 19107, USASidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA 19107, USAJefferson Heart Institute, Department of Medicine, Sidney Kimmel School of Medicine, Thomas Jefferson University, Philadelphia, PA 19107, USADepartment of Medical Oncology and Urology, Sidney Kimmel Cancer Center, Sidney Kimmel School of Medicine, Thomas Jefferson University, Philadelphia, PA 19107, USAAndrogen deprivation therapy is the cornerstone of prostate cancer therapy. Recent studies have revealed an association between androgen deprivation therapy and cardiovascular adverse effects such as myocardial infarction and stroke. This review summarizes the available research on the cardiovascular risk of men using androgen deprivation therapy. We also discuss racial disparities surrounding both prostate cancer and cardiovascular disease, emphasizing the importance of biological/molecular and socioeconomic factors in assessing baseline risk in patients beginning androgen ablation. Based on the literature, we provide recommendations for monitoring patients who are at high risk for a cardiovascular adverse event while being treated on androgen deprivation therapy. This review aims to present the current research on androgen deprivation therapy and cardiovascular toxicity with an emphasis on racial disparities and provides a framework for clinicians to decrease the cardiovascular morbidity in men that are being treated with hormone therapy.https://www.mdpi.com/2072-6694/15/8/2316androgen deprivation therapyprostate cancercardiovascular diseaseracial disparities
spellingShingle James Fradin
Felix J. Kim
Grace L. Lu-Yao
Eugene Storozynsky
William K. Kelly
Review of Cardiovascular Risk of Androgen Deprivation Therapy and the Influence of Race in Men with Prostate Cancer
Cancers
androgen deprivation therapy
prostate cancer
cardiovascular disease
racial disparities
title Review of Cardiovascular Risk of Androgen Deprivation Therapy and the Influence of Race in Men with Prostate Cancer
title_full Review of Cardiovascular Risk of Androgen Deprivation Therapy and the Influence of Race in Men with Prostate Cancer
title_fullStr Review of Cardiovascular Risk of Androgen Deprivation Therapy and the Influence of Race in Men with Prostate Cancer
title_full_unstemmed Review of Cardiovascular Risk of Androgen Deprivation Therapy and the Influence of Race in Men with Prostate Cancer
title_short Review of Cardiovascular Risk of Androgen Deprivation Therapy and the Influence of Race in Men with Prostate Cancer
title_sort review of cardiovascular risk of androgen deprivation therapy and the influence of race in men with prostate cancer
topic androgen deprivation therapy
prostate cancer
cardiovascular disease
racial disparities
url https://www.mdpi.com/2072-6694/15/8/2316
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