Clinical and Research Tools for the Study of Cardiovascular Effects of Cancer Therapy

J Cardiovasc Transl Res. 2020 Jun;13(3):417-430. doi: 10.1007/s12265-020-10030-7. Epub 2020 May 29.

Abstract

The expansion of cancer therapeutics has paved the way for improved cancer-related outcomes. Cardiotoxicity from cancer therapy occurs in a small but significant subset of patients, is often poorly understood, and contributes to adverse outcomes at all stages of cancer treatment. Given the often-idiopathic occurrence of cardiotoxicity, novel strategies are needed for risk-stratification and early identification of cancer patients experiencing cardiotoxicity. Clinical and research tools extending from imaging to blood-based biomarkers and pluripotent stem cells are being explored as methods to study the cardiovascular impact of various cancer treatments. Here we provide an overview of tools currently available for evaluation of cardiotoxicity and highlight novel techniques in development aimed at understanding underlying pathophysiologic mechanisms.

Keywords: Biomarkers; Cardiac CT; Cardiac MRI; Cardio-oncology; Cardiotoxicity; Nuclear imaging.

Publication types

  • Review

MeSH terms

  • Animals
  • Antineoplastic Agents / adverse effects*
  • Biomarkers / metabolism
  • Cancer Survivors*
  • Cardiac Imaging Techniques
  • Cardiotoxicity
  • Cardiovascular Diseases / chemically induced*
  • Cardiovascular Diseases / diagnostic imaging
  • Cardiovascular Diseases / metabolism
  • Cardiovascular Diseases / physiopathology
  • Humans
  • Induced Pluripotent Stem Cells / drug effects
  • Induced Pluripotent Stem Cells / metabolism
  • Induced Pluripotent Stem Cells / pathology
  • Myocytes, Cardiac / drug effects*
  • Myocytes, Cardiac / metabolism
  • Myocytes, Cardiac / pathology
  • Neoplasms / drug therapy*
  • Prognosis
  • Risk Assessment
  • Risk Factors
  • Ventricular Function, Left / drug effects

Substances

  • Antineoplastic Agents
  • Biomarkers