Cited by 168Chemotherapy-induced cardiotoxicity and mitigationCardiac tumors and thrombiMultiple and Secondary Primary Cancers

Cardiovascular disease after cancer therapy

Open access
Aleman, Berthe M.P., Moser, Elizabeth C., Nuver, Janine, Suter, Thomas M., Maraldo, Maja V., Specht, Lena, Vrieling, Conny, Darby, Sarah C.·2014·European Journal of Cancer Supplements

Abstract

Improvements in treatment and earlier diagnosis have both contributed to increased survival for many cancer patients. Unfortunately, many treatments carry a risk of late effects including cardiovascular diseases (CVDs), possibly leading to significant morbidity and mortality. In this paper we describe current knowledge of the cardiotoxicity arising from cancer treatments, outline gaps in knowledge, and indicate directions for future research and guideline development, as discussed during the 2014 Cancer Survivorship Summit organised by the European Organisation for Research and Treatment of Cancer (EORTC). Better knowledge is needed of the late effects of modern systemic treatments and of radiotherapy to critical structures of the heart, including the effect of both radiation dose and volume of the heart exposed. Research elucidating the extent to which treatments interact in causing CVD, and the mechanisms involved, as well as the extent to which treatments may increase CVD indirectly by increasing cardiovascular risk factors is also important. Systematic collection of data relating treatment details to late effects is needed, and great care is needed to obtain valid and generalisable results. Better knowledge of these cardiac effects will contribute to both primary and secondary prevention of late complications where exposure to cardiotoxic treatment is unavoidable. Also surrogate markers would help to identify patients at increased risk of cardiotoxicity. Evidence-based screening guidelines for CVD following cancer are also needed. Finally, risk prediction models should be developed to guide primary treatment choice and appropriate follow up after cancer treatment.

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Authors
Aleman, B. M. P., Moser, E. C., Nuver, J., Suter, T. M., Maraldo, M. V., Specht, L., Vrieling, C., & Darby, S. C.
Affiliations
  • The Netherlands Cancer Institute (NL)
  • Champalimaud Foundation (PT)
  • University Medical Center Groningen (NL)
  • University Hospital of Bern (CH)
  • University of Copenhagen (DK)
  • University of Oxford (GB)
Corresponding author
Aleman, Berthe M.P.
Venue
European Journal of Cancer Supplements
Publisher
Elsevier BV
Published
2014-06
Volume
12
Issue
1
Pages
18-28
ISSN
1359-6349 (ISSN-L)
OpenAlex
W2007078396
Cited by
168
References
101
Citations by year
2026: 14 · 2025: 15 · 2024: 8 · 2023: 21 · 2022: 17 · 2021: 9 · 2020: 16 · 2019: 16 · 2018: 17 · 2017: 18 · 2016: 14 · 2015: 2
FWCI
7.77
Type
journal article
Language
en
Open access
Locations
  • European Journal of Cancer Supplements (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • Research at the University of Copenhagen (University of Copenhagen) (publishedVersion, other-oa)
  • University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion, cc-by-nc-nd)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, cc-by-nc-nd)
Funders
Cancer Research UK (16896)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Chemotherapy-induced cardiotoxicity and mitigation
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac tumors and thrombi
  • Health Sciences › Medicine › Epidemiology › Multiple and Secondary Primary Cancers
Keywords
cardiovascular disease, cardiotoxicity, late effects of cancer treatment, cancer survivors, chemotherapy-induced cardiotoxicity, cardiovascular risk factors, cardiovascular screening, risk prediction model, surrogate markers, primary and secondary prevention

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