Cardiotoxicity due to tumoricidal drug use is defined as
an asymptomatic reduction in Left Ventricular (LV) Ejection
Fraction (EF) of ≥10% to <55% or as a reduction of the LVEF of
≥5% to <55% with symptoms of Heart Failure (HF). The
implementation in routine practices the highly tumoricidal
anthracycline drugs, taxanes, and trastuzumab cause progressive
LV dysfunction and symptomatic HF in dose-dependent manner.
Despite there is potent reversibility of tumoricidal drug-induced
cardiotoxicity, this adverse effect frequently consists continuously
and might lead to limited response to medical treatment and
worse survival sufficiently. The aim of the mini review is
consideration the clinical evidence that supports the use of cardiac
biomarkers for early detection of cardiotoxicity. The review is
reported that the identification of cancer patient with increased
risk of early cardiotoxicity would allow not only prevention and
diagnosis of chemotherapy related cardiotoxicity but also
administration of optimal dose and duration of chemotherapy.
The predictive role of brain natriuretic peptides, cardiac troponins
and inflammatory biomarkers (C-reactive protein) is discussed.
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ISSN: 2378-7716
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Article in Press
Prognostication of Early Cardio toxicity in Anti-Neoplastic Chemotherapy: The Role of Biological Markers
Alexander Berezin*
Corresponding Author: Alexander Berezin*
Received: Nov 09, 2015
Accepted: Nov 26, 2015
Published: Nov 28, 2015
Views: 4
DOI: 10.14437
Abstract
Alexander E Berezin (2015), Prognostication of Early Cardio toxicity in Anti-Neoplastic Chemotherapy: The Role of Biological
Markers. Heart Health Open Access 2:116
Copyright:
Copyright: © 2015 HHOA. This is an open-access article distributed under the terms of the Creative Commons Attribution License, Version 3.0, which permits unrestricted
use, distribution, and reproduction in any medium, provided the original author and source are credited.
use, distribution, and reproduction in any medium, provided the original author and source are credited.
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