Cardiovascular Complications Associated with Contemporary Lung Cancer Treatments

Curr Treat Options Oncol. 2021 Jun 10;22(8):71. doi: 10.1007/s11864-021-00869-6.

Abstract

Lung cancer is the most common form of cancer in humans and the leading cause of cancer-related death worldwide. Traditionally, lung cancer has been diagnosed as either small cell lung cancer (SCLC) or non-small cell lung cancer (NSCLC). However, recent developments in molecular pathology have revolutionized the diagnosis and treatment of the disease, thus improving patient prognosis and increasing the number of survivors. In advanced NSCLC cases, molecularly targeted drugs for patients with positive driver gene mutation/rearrangement, and immune checkpoint inhibitors for those with a positive biomarker, have changed the standard of care. SCLC is a highly malignant entity. In addition to the chemotherapy and radiotherapy, immune checkpoint inhibitors have recently provided some hope for extended-stage SCLC. Smoking cessation is related to decreased morbidity. However, early metastasis remains a significant challenge. Recently, cancer therapy-related cardiovascular disease (CTRCD) has emerged as diverse pathophysiology, including fulminant myocarditis, fatal arrhythmia, pericarditis, hypertension, and thrombosis, that emerged with modern lung cancer therapies. Cardio-oncology is a new interdisciplinary collaboration to develop methodologies to manage cardiovascular risk factors and CTRCDs with the common goal of minimizing unnecessary interruption of cancer treatment and maximizing outcomes of lung cancer survivors.

Keywords: Cancer therapy–related cardiovascular disease (CTRCD); Cardio-oncology; Cardiotoxicity; Lung cancer.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Anaplastic Lymphoma Kinase / antagonists & inhibitors*
  • Antineoplastic Agents / adverse effects
  • Cardiovascular Diseases / etiology*
  • ErbB Receptors / antagonists & inhibitors
  • Humans
  • Lung Neoplasms / therapy*
  • Molecular Targeted Therapy / adverse effects
  • Proto-Oncogene Proteins B-raf / antagonists & inhibitors

Substances

  • Antineoplastic Agents
  • Anaplastic Lymphoma Kinase
  • ErbB Receptors
  • Proto-Oncogene Proteins B-raf