Abstract
The patient is a 63-year-old male, case of metastatic castrate-sensitive prostate cancer on goserelin injections every 3 month. Given his initial Gleason1 grade of 8, as well as doubling Prostate-specific antigen, (PSA) in 7 months since starting treatment, he was started on androgen receptor inhibitor, apalutamide. 2 weeks after starting treatment with apalutamide, patient presented with chest pain and shortness of breath. Follow up echocardiogram showed LVEF: 46%. Coronary angiogram showed moderate diffuse coronary artery disease but no significant obstruction. He was provided with betablocker, aspirin, and ramipril.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Bostwick DG. Gleason grading of prostatic needle biopsies. Correlation with grade in 316 matched prostatectomies. Am J Surg Pathol. 1994;18(8):796–803.
Iacovelli R, Ciccarese C, Bria E, et al. The cardiovascular toxicity of abiraterone and enzalutamide in prostate cancer. Clin Genitourin Cancer. 2018;16(3):e645–53.
Higano CS. Cardiovascular disease and androgen axis-targeted drugs for prostate cancer. N Engl J Med. 2020;382(23):2257–9.
Nguyen PL, Je Y, Schutz FA, et al. Association of androgen deprivation therapy with cardiovascular death in patients with prostate cancer: a meta-analysis of randomized trials. JAMA. 2011;306(21):2359–66.
Schmitt CA. Urological cancer: heart facts rehabilitate ADT. Nat Rev Clin Oncol. 2012;9(2):68.
Van Hemelrijck M, Adolfsson J, Garmo H, et al. Risk of thromboembolic diseases in men with prostate cancer: results from the population-based PCBaSe Sweden. Lancet Oncol. 2010;11(5):450–8.
Ehdaie B, Atoria CL, Gupta A, et al. Androgen deprivation and thromboembolic events in men with prostate cancer. Cancer. 2012;118(13):3397–406.
Gardner JR, Livingston PM, Fraser SF. Effects of exercise on treatment-related adverse effects for patients with prostate cancer receiving androgen-deprivation therapy: a systematic review. J Clin Oncol. 2014;32(4):335–46.
Keating NL, O'Malley AJ, Freedland SJ, Smith MR. Diabetes and cardiovascular disease during androgen deprivation therapy: observational study of veterans with prostate cancer [published correction appears in J Natl Cancer Inst. 2012 Oct 3;104(19):1518-23]. J Natl Cancer Inst. 2010;102(1):39–46. https://doi.org/10.1093/jnci/djp404.
Saigal CS, Gore JL, Krupski TL, et al. Androgen deprivation therapy increases cardiovascular morbidity in men with prostate cancer. Cancer. 2007;110(7):1493–500. https://doi.org/10.1002/cncr.22933.
Smith MR, Saad F, Chowdhury S, Oudard S, Hadaschik B, Graff JN, Olmos D, Mainwaring PN, Lee JY, Uemura H, et al. Apalutamide treatment and metastasis-free survival in prostate cancer. N Engl J Med. 2018;378:1408–18.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
Copyright information
© 2021 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Rohani, A. (2021). Androgen Deprivation Therapy Cardiotoxicity. In: Clinical Cases in Cardio-Oncology. Clinical Cases in Cardiology. Springer, Cham. https://doi.org/10.1007/978-3-030-71155-9_11
Download citation
DOI: https://doi.org/10.1007/978-3-030-71155-9_11
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-71154-2
Online ISBN: 978-3-030-71155-9
eBook Packages: MedicineMedicine (R0)