Cardiovascular diseases in patients with cancer: A comprehensive review of epidemiological trends, cardiac complications, and prognostic implications

Abstract. This article provides an overview of the current evidence on the epidemiology, overlapping risk factors, and pathophysiology of cardiovascular disease (CVD) in patients with cancer. It explores the cardiotoxic effects of anticancer therapy and their impact on prognosis. Although cancer sur...

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Main Authors: Ali A. Alshahrani, Evangelos Kontopantelis, Catharine Morgan, Rathi Ravindrarajah, Glen P. Martin, Mamas A. Mamas, Rongman Jia
Format: Article
Language:English
Published: Wolters Kluwer 2025-01-01
Series:Chinese Medical Journal
Online Access:http://journals.lww.com/10.1097/CM9.0000000000003419
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author Ali A. Alshahrani
Evangelos Kontopantelis
Catharine Morgan
Rathi Ravindrarajah
Glen P. Martin
Mamas A. Mamas
Rongman Jia
author_facet Ali A. Alshahrani
Evangelos Kontopantelis
Catharine Morgan
Rathi Ravindrarajah
Glen P. Martin
Mamas A. Mamas
Rongman Jia
author_sort Ali A. Alshahrani
collection DOAJ
description Abstract. This article provides an overview of the current evidence on the epidemiology, overlapping risk factors, and pathophysiology of cardiovascular disease (CVD) in patients with cancer. It explores the cardiotoxic effects of anticancer therapy and their impact on prognosis. Although cancer survival rates have improved over the last two decades, the risk of CVD has risen over time in patients with cancer. CVD and cancer share similar risk factors and a common pathophysiology involving inflammation. Many chemotherapeutic agents used to treat cancer are associated with cardiovascular complications (such as heart failure, myocardial infarction, and thrombosis). Current evidence indicates a significant burden of CVD in patients with cancer, particularly in the first year following cancer diagnosis, with elevated risk persisting beyond this period. This short- and long-term risk of CVD may vary depending on the cancer type and treatment regimen. Early identification of potential cardiovascular risk in patients with cancer, can lead to more favorable clinical and survival outcomes. Given the acute and long-term consequences, patients with cancer require increased cardiovascular care and lifestyle optimization. This article offers valuable insights into the cardiovascular burden and needs of patients with cancer. It is intended for a general medical research readership interested in the intersection of cardiology and oncology.
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institution Kabale University
issn 0366-6999
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language English
publishDate 2025-01-01
publisher Wolters Kluwer
record_format Article
series Chinese Medical Journal
spelling doaj-art-a59d336c3b204afbb82c88b7e65a75032025-01-20T07:56:42ZengWolters KluwerChinese Medical Journal0366-69992542-56412025-01-01138214315410.1097/CM9.0000000000003419202501200-00003Cardiovascular diseases in patients with cancer: A comprehensive review of epidemiological trends, cardiac complications, and prognostic implicationsAli A. Alshahrani0Evangelos Kontopantelis1Catharine Morgan2Rathi Ravindrarajah3Glen P. Martin4Mamas A. Mamas5Rongman Jia1 Faculty of Biology, Medicine and Health, School of Health Sciences, University of Manchester, Manchester M13 9QQ, United Kingdom1 Faculty of Biology, Medicine and Health, School of Health Sciences, University of Manchester, Manchester M13 9QQ, United Kingdom1 Faculty of Biology, Medicine and Health, School of Health Sciences, University of Manchester, Manchester M13 9QQ, United Kingdom1 Faculty of Biology, Medicine and Health, School of Health Sciences, University of Manchester, Manchester M13 9QQ, United Kingdom1 Faculty of Biology, Medicine and Health, School of Health Sciences, University of Manchester, Manchester M13 9QQ, United Kingdom3 Keele Cardiovascular Research Group, Institute for Prognosis Research, University of Keele, Keele ST5 5BG, United KingdomAbstract. This article provides an overview of the current evidence on the epidemiology, overlapping risk factors, and pathophysiology of cardiovascular disease (CVD) in patients with cancer. It explores the cardiotoxic effects of anticancer therapy and their impact on prognosis. Although cancer survival rates have improved over the last two decades, the risk of CVD has risen over time in patients with cancer. CVD and cancer share similar risk factors and a common pathophysiology involving inflammation. Many chemotherapeutic agents used to treat cancer are associated with cardiovascular complications (such as heart failure, myocardial infarction, and thrombosis). Current evidence indicates a significant burden of CVD in patients with cancer, particularly in the first year following cancer diagnosis, with elevated risk persisting beyond this period. This short- and long-term risk of CVD may vary depending on the cancer type and treatment regimen. Early identification of potential cardiovascular risk in patients with cancer, can lead to more favorable clinical and survival outcomes. Given the acute and long-term consequences, patients with cancer require increased cardiovascular care and lifestyle optimization. This article offers valuable insights into the cardiovascular burden and needs of patients with cancer. It is intended for a general medical research readership interested in the intersection of cardiology and oncology.http://journals.lww.com/10.1097/CM9.0000000000003419
spellingShingle Ali A. Alshahrani
Evangelos Kontopantelis
Catharine Morgan
Rathi Ravindrarajah
Glen P. Martin
Mamas A. Mamas
Rongman Jia
Cardiovascular diseases in patients with cancer: A comprehensive review of epidemiological trends, cardiac complications, and prognostic implications
Chinese Medical Journal
title Cardiovascular diseases in patients with cancer: A comprehensive review of epidemiological trends, cardiac complications, and prognostic implications
title_full Cardiovascular diseases in patients with cancer: A comprehensive review of epidemiological trends, cardiac complications, and prognostic implications
title_fullStr Cardiovascular diseases in patients with cancer: A comprehensive review of epidemiological trends, cardiac complications, and prognostic implications
title_full_unstemmed Cardiovascular diseases in patients with cancer: A comprehensive review of epidemiological trends, cardiac complications, and prognostic implications
title_short Cardiovascular diseases in patients with cancer: A comprehensive review of epidemiological trends, cardiac complications, and prognostic implications
title_sort cardiovascular diseases in patients with cancer a comprehensive review of epidemiological trends cardiac complications and prognostic implications
url http://journals.lww.com/10.1097/CM9.0000000000003419
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AT catharinemorgan cardiovasculardiseasesinpatientswithcanceracomprehensivereviewofepidemiologicaltrendscardiaccomplicationsandprognosticimplications
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