Mechanism and Management of Cancer Chemotherapy-Induced Atherosclerosis

The advent of new chemotherapeutic and immunotherapeutic treatments has markedly improved outcomes in patients with cancer. However, increasing numbers of elderly patients with cancer and prolonged periods of treatment have made the management of cardiovascular complications and treatment-induced ca...

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Veröffentlicht in:Journal of Atherosclerosis and Thrombosis 2018/10/01, Vol.25(10), pp.994-1002
Hauptverfasser: Mukai, Mikio, Komori, Keiko, Oka, Toru
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container_issue 10
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container_title Journal of Atherosclerosis and Thrombosis
container_volume 25
creator Mukai, Mikio
Komori, Keiko
Oka, Toru
description The advent of new chemotherapeutic and immunotherapeutic treatments has markedly improved outcomes in patients with cancer. However, increasing numbers of elderly patients with cancer and prolonged periods of treatment have made the management of cardiovascular complications and treatment-induced cardiotoxicity an important concern, and onco-cardiology has received increasing attention. The number of patients with cardiotoxicity, particularly atherosclerotic lesions, and the usage of angiogenesis inhibitors have increased, making the involvement of onco-cardiologists essential for effective disease management. A paradigm shift in immunotherapy was caused by the development of immune checkpoint inhibitors. Because vascular endothelial growth factors (VEGF) in the cancer microenvironment and cancer immune function are interrelated angiogenesis inhibitors will most likely play an increasingly important role in combined immunotherapy. To ensure the optimal long-term diagnosis and long-term treatment of cancer and the effective management of treatment-related atherosclerotic diseases, the long-term continuous participation of onco-cardiologists is essential.
doi_str_mv 10.5551/jat.RV17027
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source MEDLINE; J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese; EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Animals
Antineoplastic Agents - adverse effects
Atherosclerosis
Atherosclerosis - chemically induced
Atherosclerosis - prevention & control
Cancer
Cardiotoxicity
Disease Management
Humans
Immune checkpoint inhibitors
Neoplasms - drug therapy
Prognosis
Review
Vascular endothelial growth factors
title Mechanism and Management of Cancer Chemotherapy-Induced Atherosclerosis
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