Journal of Clinical Medicine (Feb 2023)
Exploring the Cardiotoxicity Spectrum of Anti-Cancer Treatments: Definition, Classification, and Diagnostic Pathways
- Ciro Mauro,
- Valentina Capone,
- Rosangela Cocchia,
- Filippo Cademartiri,
- Ferdinando Riccardi,
- Michele Arcopinto,
- Maie Alshahid,
- Kashif Anwar,
- Mariano Carafa,
- Andreina Carbone,
- Rossana Castaldo,
- Salvatore Chianese,
- Giulia Crisci,
- Roberta D’Assante,
- Mariarosaria De Luca,
- Monica Franzese,
- Domenico Galzerano,
- Vincenzo Maffei,
- Alberto Maria Marra,
- Alfredo Mazza,
- Brigida Ranieri,
- Anna D’Agostino,
- Salvatore Rega,
- Luigia Romano,
- Sarah Scagliarini,
- Chiara Sepe,
- Olga Vriz,
- Raffaele Izzo,
- Antonio Cittadini,
- Eduardo Bossone,
- Andrea Salzano
Affiliations
- Ciro Mauro
- Cardiology Division, Antonio Cardarelli Hospital, Via Cardarelli, 9, 80131 Naples, Italy
- Valentina Capone
- Cardiology Division, Antonio Cardarelli Hospital, Via Cardarelli, 9, 80131 Naples, Italy
- Rosangela Cocchia
- Cardiology Division, Antonio Cardarelli Hospital, Via Cardarelli, 9, 80131 Naples, Italy
- Filippo Cademartiri
- Department of Radiology, Fondazione G. Monasterio CNR-Regione Toscana, Via Moruzzi, 1, 56124 Pisa, Italy
- Ferdinando Riccardi
- Oncology Unit, Antonio Cardarelli Hospital, Via Cardarelli, 9, 80131 Naples, Italy
- Michele Arcopinto
- Department of Translational Medical Sciences, Federico II University, 80138 Naples, Italy
- Maie Alshahid
- The Heart Centre, King Faisal Specialist Hospital & Research Centre, Riyadh 11564, Saudi Arabia
- Kashif Anwar
- The Heart Centre, King Faisal Specialist Hospital & Research Centre, Riyadh 11564, Saudi Arabia
- Mariano Carafa
- Emergency Medicine Division, Antonio Cardarelli Hospital, Via Cardarelli, 9, 80131 Naples, Italy
- Andreina Carbone
- Unit of Cardiology, Department of Translational Medical Sciences, University of Campania “Luigi Vanvitelli”, Monaldi Hospital, 80131 Naples, Italy
- Rossana Castaldo
- IRCCS SYNLAB SDN, Via Emanuele Gianturco, 113, 80143 Naples, Italy
- Salvatore Chianese
- Cardiology Division, Antonio Cardarelli Hospital, Via Cardarelli, 9, 80131 Naples, Italy
- Giulia Crisci
- Department of Translational Medical Sciences, Federico II University, 80138 Naples, Italy
- Roberta D’Assante
- Department of Translational Medical Sciences, Federico II University, 80138 Naples, Italy
- Mariarosaria De Luca
- Department of Translational Medical Sciences, Federico II University, 80138 Naples, Italy
- Monica Franzese
- IRCCS SYNLAB SDN, Via Emanuele Gianturco, 113, 80143 Naples, Italy
- Domenico Galzerano
- The Heart Centre, King Faisal Specialist Hospital & Research Centre, Riyadh 11564, Saudi Arabia
- Vincenzo Maffei
- Post Operative Intensive Care Division, Antonio Cardarelli Hospital, 9, 80131 Naples, Italy
- Alberto Maria Marra
- Department of Translational Medical Sciences, Federico II University, 80138 Naples, Italy
- Alfredo Mazza
- Unit of Cardiology, Camerino Hospital, 62032 Macerata, Italy
- Brigida Ranieri
- IRCCS SYNLAB SDN, Via Emanuele Gianturco, 113, 80143 Naples, Italy
- Anna D’Agostino
- IRCCS SYNLAB SDN, Via Emanuele Gianturco, 113, 80143 Naples, Italy
- Salvatore Rega
- Department of Public Health, University Federico II of Naples, Via Sergio Pansini, 5, 80131 Naples, Italy
- Luigia Romano
- Department of General and Emergency Radiology, Antonio Cardarelli Hospital, Via Cardarelli, 9, 80131 Naples, Italy
- Sarah Scagliarini
- Oncology Unit, Antonio Cardarelli Hospital, Via Cardarelli, 9, 80131 Naples, Italy
- Chiara Sepe
- Technical Nursing and Rehabilitation Service (SITR) Department, Cardarelli Hospital, 80131 Naples, Italy
- Olga Vriz
- The Heart Centre, King Faisal Specialist Hospital & Research Centre, Riyadh 11564, Saudi Arabia
- Raffaele Izzo
- Department of Advanced Biomedical Sciences, University of Naples Federico II, Via Sergio Pansini, 5, 80131 Naples, Italy
- Antonio Cittadini
- Department of Translational Medical Sciences, Federico II University, 80138 Naples, Italy
- Eduardo Bossone
- Department of Public Health, University Federico II of Naples, Via Sergio Pansini, 5, 80131 Naples, Italy
- Andrea Salzano
- IRCCS SYNLAB SDN, Via Emanuele Gianturco, 113, 80143 Naples, Italy
- DOI
- https://doi.org/10.3390/jcm12041612
- Journal volume & issue
-
Vol. 12,
no. 4
p. 1612
Abstract
Early detection and treatment of cancer have led to a noticeable reduction in both mortality and morbidity. However, chemotherapy and radiotherapy could exert cardiovascular (CV) side effects, impacting survival and quality of life, independent of the oncologic prognosis. In this regard, a high clinical index of suspicion is required by the multidisciplinary care team in order to trigger specific laboratory tests (namely natriuretic peptides and high-sensitivity cardiac troponin) and appropriate imaging techniques (transthoracic echocardiography along with cardiac magnetic resonance, cardiac computed tomography, and nuclear testing (if clinically indicated)), leading to timely diagnosis. In the near future, we do expect a more tailored approach to patient care within the respective community along with the widespread implementation of digital health tools.
Keywords