Cardiovascular disease after cancer therapy
Open accessAbstract
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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“Conditions and their treatment can interact with each other; for example, cancer treatments and drug abuse affect cardiovascular health (19–22).”
- 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.
- ORCID
- Venue
- European Journal of Cancer Supplements
- Publisher
- Elsevier BV
- Published
- 2014-06
- Volume
- 12
- Issue
- 1
- Pages
- 18-28
- ISSN
- 1359-6349 (ISSN-L)
- PMC
- PMC4250533
- 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
- diamond
- doi.org
- Licence
- 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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