Remarks on the Position Paper on Cardio-Onco-Hematology and Remarks on the Review of Cardiac Imaging Modalities for the Detection of Cardiotoxicity.
Revista espanola de cardiologia (English ed)(2017)
Abstract
The undeniable advances in the field of oncology have finally led to a decrease in overall cancer-related mortality. However, this population of long-term cancer survivors is now facing a shift toward a substantial increase in cardiovascular morbidity and mortality. Because the development of overt cardiotoxicity can be associated with poor outcomes, preclinical identification of cardiac toxicity is important. This will promote early instauration of treatments to prevent overt heart dysfunction and allow oncologists to continue cancer therapy in an uninterrupted manner. Surveillance strategies for the early detection of cardiac injury include cardiac imaging and biomarkers during treatment. In this review, we outline existing cardiac imaging modalities to detect myocardial changes in patients undergoing cancer treatment and in survivors, and their strengths and limitations.Los indudables progresos en el campo de la oncología han disminuido la mortalidad secundaria al cáncer. Sin embargo, esta población de larga supervivencia se enfrenta ahora a un aumento de la morbimortalidad cardiovascular. Dado que la aparición de cardiotoxicidad se asocia con mal pronóstico, identificarla en una fase subclínica es importante para promover el inicio precoz de tratamientos cardioprotectores y evitar interrupciones del tratamiento oncológico. Las estrategias de detección precoz de la cardiotoxicidad incluyen el uso de biomarcadores y técnicas de imagen cardiaca. Este artículo revisa las técnicas de imagen disponibles, con sus ventajas y limitaciones, para detectar alteraciones precoces de la función miocárdica de pacientes en tratamiento antitumoral y en supervivientes al cáncer.
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