Abstract

Cancer and Cardiovascular Disease: The Complex Labyrinth.

Highlights

  • In 2005 trastuzumab in combination with chemotherapy was shown to significantly improve disease-free and overall survival in women with early stage HER2 positive breast cancer [6, 7]

  • We have known for years that cancer drugs, such as the anthracyclines, can cause severe and permanent heart damage including heart failure (HF)

  • While the dramatic improvements in clinical outcomes led to the widespread adoption of this treatment in clinical practice, it became readily apparent that women were experiencing higher rates of cardiac dysfunction than had been anticipated during clinical development— placing oncologists in a difficult situation—to treat or not to treat [8]!

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Summary

Introduction

In 2005 trastuzumab in combination with chemotherapy was shown to significantly improve disease-free and overall survival in women with early stage HER2 positive breast cancer [6, 7]. Susan Dent,1 Peter Liu,2 Christine Brezden-Masley,3 and Daniel Lenihan4 Cardiotoxicity, a relatively new term in the medical literature, refers to the impact of cancer therapies on the heart and cardiovascular system [3, 4].

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