A Comprehensive Review of Cancer Drug-Induced Cardiotoxicity in Blood Cancer Patients: Current Perspectives and Therapeutic Strategies

Curr Treat Options Oncol. 2024 Apr;25(4):465-495. doi: 10.1007/s11864-023-01175-z. Epub 2024 Feb 19.

Abstract

Cardiotoxicity has emerged as a serious outcome catalyzed by various therapeutic targets in the field of cancer treatment, which includes chemotherapy, radiation, and targeted therapies. The growing significance of cancer drug-induced cardiotoxicity (CDIC) and radiation-induced cardiotoxicity (CRIC) necessitates immediate attention. This article intricately unveils how cancer treatments cause cardiotoxicity, which is exacerbated by patient-specific risks. In particular, drugs like anthracyclines, alkylating agents, and tyrosine kinase inhibitors pose a risk, along with factors such as hypertension and diabetes. Mechanistic insights into oxidative stress and topoisomerase-II-B inhibition are crucial, while cardiac biomarkers show early damage. Timely intervention and prompt treatment, especially with specific agents like dexrazoxane and beta-blockers, are pivotal in the proactive management of CDIC.

Keywords: Blood cancer; Cardiotoxicity; Cardiovascular disease; Immunotherapy; Therapeutics.

Publication types

  • Review

MeSH terms

  • Anthracyclines / adverse effects
  • Antineoplastic Agents* / adverse effects
  • Cardiotoxicity / diagnosis
  • Cardiotoxicity / etiology
  • Hematologic Neoplasms* / complications
  • Humans
  • Neoplasms* / complications
  • Neoplasms* / drug therapy

Substances

  • Antineoplastic Agents
  • Anthracyclines