Life (Apr 2024)

Applied Cardio-Oncology in Hematological Malignancies: A Narrative Review

  • Evdokia Mandala,
  • Kyranna Lafara,
  • Dimitrios Kokkinovasilis,
  • Ioannis Kalafatis,
  • Vasiliki Koukoulitsa,
  • Eirini Katodritou,
  • Christos Lafaras

DOI
https://doi.org/10.3390/life14040524
Journal volume & issue
Vol. 14, no. 4
p. 524

Abstract

Read online

Applied cardio-oncology in hematological malignancies refers to the integration of cardiovascular care and management for patients with blood cancer, particularly leukemia, lymphoma, and multiple myeloma. Hematological cancer therapy-related cardiotoxicity deals with the most common cardiovascular complications of conventional chemotherapy, targeted therapy, immunotherapy, chimeric antigen receptor T (CAR-T) cell and tumor-infiltrating lymphocyte therapies, bispecific antibodies, and hematopoietic stem cell transplantation. This narrative review focuses on hematological cancer-therapy-related cardiotoxicity’s definition, risk stratification, multimodality imaging, and use of cardiac biomarkers to detect clinical and/or subclinical myocardial dysfunction and electrical instability. Moreover, the most common cardiotoxic profiles of the main drugs and/or therapeutic interventions in patients with hematological malignancies are described thoroughly.

Keywords