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Chemotherapy-Related Cardiovascular Complications

  • Muzna Hussain
  • Patrick CollierEmail author
Reference work entry

Abstract

This book chapter addresses chemotherapy-related cardiovascular complications that may result in admission of oncology patients to the intensive care. It is covered in a systematic way from etiology, epidemiology, pathophysiology, and clinical features to diagnosis, management, and prognosis. Because many oncology patients undergo concomitant chemotherapy and radiotherapy which may have additive cardiovascular toxicity, the term cancer therapeutics is increasingly being used to encompass these exposures. There has been an exponential rate of growth in the development of new cancer therapeutics, often with more complex mechanism of actions. There is an increasing recognition of a myriad of secondary acute cardiovascular complications, some of which may be quite rare and therefore not identified or reported until the therapy is already approved and administered to the larger general population. Oncology patients may find themselves admitted to the intensive care because of a cardiac diagnosis that is independent of, partly related to, or directly as a consequence of their prior or current cancer therapy. It is imperative therefore for the patient/their healthcare power of attorney and the treating healthcare professional to be aware of such a potential etiology, to report this as part of thorough history taking, and to explore the potential relationship between the therapy and the illness. This is because the pathophysiology, clinical features, diagnosis, and prognosis can all be strikingly different depending on whether the cancer therapy is implicated in the etiology. Similarly, it can influence whether a cancer therapy is contraindicated for that patient in the future.

Keywords

Cancer therapeutics Cardiovascular complications Chemotherapy Critical care Oncology 

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Robert and Suzanne Tomsich Department of Cardiovascular Medicine, Sydell and Arnold Miller Family Heart and Vascular InstituteThe Cleveland Clinic FoundationClevelandUSA
  2. 2.Case Western Reserve University, Lerner College of MedicineClevelandUSA

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