Expert opinion on the use of anthracyclines in patients with advanced breast cancer at cardiac risk.
Authors
Barrett-Lee, P JDixon, J M
Farrell, Carole
Jones, A
Leonard, R
Murray, N
Palmieri, C
Plummer, C J
Stanley, A
Verrill, Mark W
Affiliation
Breast Unit, Velindre Cancer Centre, Cardiff, UK. peter.barrett-lee@velindre-tr.wales.nhs.ukIssue Date
2009-05
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Anthracyclines are considered to be among the most active agents for the treatment of breast cancer. However, their use is limited by cumulative, dose-related cardiotoxicity. Such cardiotoxicity results in a permanent loss of cardiac myocytes and a progressive reduction in cardiac function following each subsequent dose of anthracycline. Initially, damage to the heart is subclinical; however, increasingly impaired cardiac function can result in cardiovascular symptoms, with serious cardiac injury resulting in chronic heart failure. Since the early detection and treatment of cardiotoxicity can reduce its clinical effects, it is important that oncologists are aware of these adverse effects and manage them appropriately. This review examines the risk factors for anthracycline-associated cardiotoxicity and offers recommendations on strategies to reduce the cardiotoxicity of anthracyclines in the management of patients with advanced breast cancer.Citation
Expert opinion on the use of anthracyclines in patients with advanced breast cancer at cardiac risk. 2009, 20 (5):816-27 Ann. Oncol.Journal
Annals of OncologyDOI
10.1093/annonc/mdn728PubMed ID
19153118Type
ArticleLanguage
enISSN
1569-8041ae974a485f413a2113503eed53cd6c53
10.1093/annonc/mdn728
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