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Preserving Cardiac Health in the Breast Cancer Patient Treated with Anthracyclines

  • Neville Davidson
Chapter

Abstract

Improved management and increasingly aggressive treatment have resulted in more women living with and surviving breast cancer. For these women, an increasingly important issue is the potentially negative effects of cancer treatment on quality of life, such as treatment-related cardiac dysfunction. In addition to ensuring the best results against the cancer, there is now a growing onus on oncologists to manage these adverse treatment effects. Anthracyclines represent one of the most effective and widely used agents for breast cancer, but are associated with well-recognised, dose-related cardiotoxicity. Strategies aimed at maximising anthracycline efficacy while minimising cardiotoxicity include: screening patients for cardiovascular risk factors and the institution of proactive treatment when possible [e.g. stopping smoking, use of angiotensin-converting enzyme (ACE) inhibitors, etc.], active monitoring of cardiac function, limiting the lifetime cumulative dose, and/or utilising a less cardiotoxic liposomal preparation.

Keywords

Breast Cancer Left Ventricular Ejection Fraction Metastatic Breast Cancer Liposomal Doxorubicin Cardiac Risk Factor 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Society for Imaging Informatics in Medicine 2010

Authors and Affiliations

  1. 1.Department of Oncology ResearchBroomfield HospitalEssexUK

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