Exploring the Cardiotoxicity Spectrum of Anti-Cancer Treatments: Definition, Classification, and Diagnostic Pathways

Early detection and treatment of cancer have led to a noticeable reduction in both mortality and morbidity. However, chemotherapy and radiotherapy could exert cardiovascular (CV) side effects, impacting survival and quality of life, independent of the oncologic prognosis. In this regard, a high clin...

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Main Authors: Ciro Mauro, Valentina Capone, Rosangela Cocchia, Filippo Cademartiri, Ferdinando Riccardi, Michele Arcopinto, Maie Alshahid, Kashif Anwar, Mariano Carafa, Andreina Carbone, Rossana Castaldo, Salvatore Chianese, Giulia Crisci, Roberta D’Assante, Mariarosaria De Luca, Monica Franzese, Domenico Galzerano, Vincenzo Maffei, Alberto Maria Marra, Alfredo Mazza, Brigida Ranieri, Anna D’Agostino, Salvatore Rega, Luigia Romano, Sarah Scagliarini, Chiara Sepe, Olga Vriz, Raffaele Izzo, Antonio Cittadini, Eduardo Bossone, Andrea Salzano
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/4/1612
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author Ciro Mauro
Valentina Capone
Rosangela Cocchia
Filippo Cademartiri
Ferdinando Riccardi
Michele Arcopinto
Maie Alshahid
Kashif Anwar
Mariano Carafa
Andreina Carbone
Rossana Castaldo
Salvatore Chianese
Giulia Crisci
Roberta D’Assante
Mariarosaria De Luca
Monica Franzese
Domenico Galzerano
Vincenzo Maffei
Alberto Maria Marra
Alfredo Mazza
Brigida Ranieri
Anna D’Agostino
Salvatore Rega
Luigia Romano
Sarah Scagliarini
Chiara Sepe
Olga Vriz
Raffaele Izzo
Antonio Cittadini
Eduardo Bossone
Andrea Salzano
author_facet Ciro Mauro
Valentina Capone
Rosangela Cocchia
Filippo Cademartiri
Ferdinando Riccardi
Michele Arcopinto
Maie Alshahid
Kashif Anwar
Mariano Carafa
Andreina Carbone
Rossana Castaldo
Salvatore Chianese
Giulia Crisci
Roberta D’Assante
Mariarosaria De Luca
Monica Franzese
Domenico Galzerano
Vincenzo Maffei
Alberto Maria Marra
Alfredo Mazza
Brigida Ranieri
Anna D’Agostino
Salvatore Rega
Luigia Romano
Sarah Scagliarini
Chiara Sepe
Olga Vriz
Raffaele Izzo
Antonio Cittadini
Eduardo Bossone
Andrea Salzano
author_sort Ciro Mauro
collection DOAJ
description Early detection and treatment of cancer have led to a noticeable reduction in both mortality and morbidity. However, chemotherapy and radiotherapy could exert cardiovascular (CV) side effects, impacting survival and quality of life, independent of the oncologic prognosis. In this regard, a high clinical index of suspicion is required by the multidisciplinary care team in order to trigger specific laboratory tests (namely natriuretic peptides and high-sensitivity cardiac troponin) and appropriate imaging techniques (transthoracic echocardiography along with cardiac magnetic resonance, cardiac computed tomography, and nuclear testing (if clinically indicated)), leading to timely diagnosis. In the near future, we do expect a more tailored approach to patient care within the respective community along with the widespread implementation of digital health tools.
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spelling doaj.art-8bc3788173e94651a206e9cc6711ee5e2023-11-16T21:22:02ZengMDPI AGJournal of Clinical Medicine2077-03832023-02-01124161210.3390/jcm12041612Exploring the Cardiotoxicity Spectrum of Anti-Cancer Treatments: Definition, Classification, and Diagnostic PathwaysCiro Mauro0Valentina Capone1Rosangela Cocchia2Filippo Cademartiri3Ferdinando Riccardi4Michele Arcopinto5Maie Alshahid6Kashif Anwar7Mariano Carafa8Andreina Carbone9Rossana Castaldo10Salvatore Chianese11Giulia Crisci12Roberta D’Assante13Mariarosaria De Luca14Monica Franzese15Domenico Galzerano16Vincenzo Maffei17Alberto Maria Marra18Alfredo Mazza19Brigida Ranieri20Anna D’Agostino21Salvatore Rega22Luigia Romano23Sarah Scagliarini24Chiara Sepe25Olga Vriz26Raffaele Izzo27Antonio Cittadini28Eduardo Bossone29Andrea Salzano30Cardiology Division, Antonio Cardarelli Hospital, Via Cardarelli, 9, 80131 Naples, ItalyCardiology Division, Antonio Cardarelli Hospital, Via Cardarelli, 9, 80131 Naples, ItalyCardiology Division, Antonio Cardarelli Hospital, Via Cardarelli, 9, 80131 Naples, ItalyDepartment of Radiology, Fondazione G. Monasterio CNR-Regione Toscana, Via Moruzzi, 1, 56124 Pisa, ItalyOncology Unit, Antonio Cardarelli Hospital, Via Cardarelli, 9, 80131 Naples, ItalyDepartment of Translational Medical Sciences, Federico II University, 80138 Naples, ItalyThe Heart Centre, King Faisal Specialist Hospital & Research Centre, Riyadh 11564, Saudi ArabiaThe Heart Centre, King Faisal Specialist Hospital & Research Centre, Riyadh 11564, Saudi ArabiaEmergency Medicine Division, Antonio Cardarelli Hospital, Via Cardarelli, 9, 80131 Naples, ItalyUnit of Cardiology, Department of Translational Medical Sciences, University of Campania “Luigi Vanvitelli”, Monaldi Hospital, 80131 Naples, ItalyIRCCS SYNLAB SDN, Via Emanuele Gianturco, 113, 80143 Naples, ItalyCardiology Division, Antonio Cardarelli Hospital, Via Cardarelli, 9, 80131 Naples, ItalyDepartment of Translational Medical Sciences, Federico II University, 80138 Naples, ItalyDepartment of Translational Medical Sciences, Federico II University, 80138 Naples, ItalyDepartment of Translational Medical Sciences, Federico II University, 80138 Naples, ItalyIRCCS SYNLAB SDN, Via Emanuele Gianturco, 113, 80143 Naples, ItalyThe Heart Centre, King Faisal Specialist Hospital & Research Centre, Riyadh 11564, Saudi ArabiaPost Operative Intensive Care Division, Antonio Cardarelli Hospital, 9, 80131 Naples, ItalyDepartment of Translational Medical Sciences, Federico II University, 80138 Naples, ItalyUnit of Cardiology, Camerino Hospital, 62032 Macerata, ItalyIRCCS SYNLAB SDN, Via Emanuele Gianturco, 113, 80143 Naples, ItalyIRCCS SYNLAB SDN, Via Emanuele Gianturco, 113, 80143 Naples, ItalyDepartment of Public Health, University Federico II of Naples, Via Sergio Pansini, 5, 80131 Naples, ItalyDepartment of General and Emergency Radiology, Antonio Cardarelli Hospital, Via Cardarelli, 9, 80131 Naples, ItalyOncology Unit, Antonio Cardarelli Hospital, Via Cardarelli, 9, 80131 Naples, ItalyTechnical Nursing and Rehabilitation Service (SITR) Department, Cardarelli Hospital, 80131 Naples, ItalyThe Heart Centre, King Faisal Specialist Hospital & Research Centre, Riyadh 11564, Saudi ArabiaDepartment of Advanced Biomedical Sciences, University of Naples Federico II, Via Sergio Pansini, 5, 80131 Naples, ItalyDepartment of Translational Medical Sciences, Federico II University, 80138 Naples, ItalyDepartment of Public Health, University Federico II of Naples, Via Sergio Pansini, 5, 80131 Naples, ItalyIRCCS SYNLAB SDN, Via Emanuele Gianturco, 113, 80143 Naples, ItalyEarly detection and treatment of cancer have led to a noticeable reduction in both mortality and morbidity. However, chemotherapy and radiotherapy could exert cardiovascular (CV) side effects, impacting survival and quality of life, independent of the oncologic prognosis. In this regard, a high clinical index of suspicion is required by the multidisciplinary care team in order to trigger specific laboratory tests (namely natriuretic peptides and high-sensitivity cardiac troponin) and appropriate imaging techniques (transthoracic echocardiography along with cardiac magnetic resonance, cardiac computed tomography, and nuclear testing (if clinically indicated)), leading to timely diagnosis. In the near future, we do expect a more tailored approach to patient care within the respective community along with the widespread implementation of digital health tools.https://www.mdpi.com/2077-0383/12/4/1612cardio-oncologycancer therapy-related cardiovascular toxicitychemotherapy
spellingShingle Ciro Mauro
Valentina Capone
Rosangela Cocchia
Filippo Cademartiri
Ferdinando Riccardi
Michele Arcopinto
Maie Alshahid
Kashif Anwar
Mariano Carafa
Andreina Carbone
Rossana Castaldo
Salvatore Chianese
Giulia Crisci
Roberta D’Assante
Mariarosaria De Luca
Monica Franzese
Domenico Galzerano
Vincenzo Maffei
Alberto Maria Marra
Alfredo Mazza
Brigida Ranieri
Anna D’Agostino
Salvatore Rega
Luigia Romano
Sarah Scagliarini
Chiara Sepe
Olga Vriz
Raffaele Izzo
Antonio Cittadini
Eduardo Bossone
Andrea Salzano
Exploring the Cardiotoxicity Spectrum of Anti-Cancer Treatments: Definition, Classification, and Diagnostic Pathways
Journal of Clinical Medicine
cardio-oncology
cancer therapy-related cardiovascular toxicity
chemotherapy
title Exploring the Cardiotoxicity Spectrum of Anti-Cancer Treatments: Definition, Classification, and Diagnostic Pathways
title_full Exploring the Cardiotoxicity Spectrum of Anti-Cancer Treatments: Definition, Classification, and Diagnostic Pathways
title_fullStr Exploring the Cardiotoxicity Spectrum of Anti-Cancer Treatments: Definition, Classification, and Diagnostic Pathways
title_full_unstemmed Exploring the Cardiotoxicity Spectrum of Anti-Cancer Treatments: Definition, Classification, and Diagnostic Pathways
title_short Exploring the Cardiotoxicity Spectrum of Anti-Cancer Treatments: Definition, Classification, and Diagnostic Pathways
title_sort exploring the cardiotoxicity spectrum of anti cancer treatments definition classification and diagnostic pathways
topic cardio-oncology
cancer therapy-related cardiovascular toxicity
chemotherapy
url https://www.mdpi.com/2077-0383/12/4/1612
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