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Research progress of radiation-induced cardiovascular diseases |
HUANG Yong |
Department of Oncology, Guangde Road, Hefei Second People's Hospital, Hefei 230011 China |
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Abstract Cancer survival has improved dramatically, but this has also increased the delayed side effects of multimodality therapy. Radiation (RT) to the thoracic malignancies results in unintentional irradiation of the cardiac chambers. RT-induced microvascular ischemia leads to disruption of capillary endothelial framework, and injury to differentiated myocytes results in deposition of collagen and fibrosis. Radiotherapy not only causes heart damage, but also accelerates the occurrence of major coronary events in patients with metabolic syndrome and atherosclerosis. Hence, it becomes pertinent to understand the underlying pathophysiology and clinical manifestations of RT-induced cardiovascular disease to devise optimal preventive and surveillance strategies.
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Received: 05 March 2018
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[1] WHO. Cardiovascular Diseases (CVDs) (2017) http://www.who.int/mediacentre/factsheets/fs317/en/ [2] Delaney G, Jacob S, Featherstone C, et al. The role of radiotherapy in cancer treatment[J]. Cancer, 2005, 104(6):1129-1137. [3] Baskar R, Lee KA, Yeo R, et al. Cancer and radiation therapy:current advances and future directions[J]. Int J Med Sci, 2012, 9(3):193-199. [4] Sarfati D, Koczwara B, Jackson C. The impact of comorbidity on cancer and its treatment[J]. CA Cancer J Clinm, 2016, 66(4):337-350. [5] James M, Swadi S, Yi M, et al. Ischaemic heart disease following conventional and hypofractionated radiation treatment in a contemporary breast cancer series[J].J Med Imaging Radiat Oncol,2018:1-7. [6] Harry M. Cullings. Impact on the Japanese atomic bomb survivors of radiation received from the bombs[J].Health Phys, 2014,106(2):281-293. [7] van Nimwegen FA, Ntentas G, Darby SC, et al. Risk of heart failure in survivors of Hodgkin lymphoma:effects of cardiacexposure to radiation and anthracyclines[J].Blood, 2017,129(16):2257-2265. [8] Al-Kindi SG, Oliviera GH. Incidence and trends of cardiovascular mortality after common cancers in young adults:analysis of surveillance, epidemiology and end-results program[J]. World J Cardiol, 2016, 8(6):368-374. [9] Nabati M, Yosofnezhad K, Taghavi M, et al. Non-Hodgkin's Lymphoma Presenting as Constrictive Pericarditis:A Rare Case Report[J]. J Tehran Heart Cent,2016,11(2):92-97. [10] Halle M, Gabrielsen A, Paulsson-Berne G, et al. Sustained inflammation due to nuclear factor-kappa B activation in irradiated human arteries[J]. J Am Coll Cardiol,2010, 55(12):1227-1236. [11] Hansson G. Inflammation, atherosclerosis, and coronary artery disease[J].N Engl J Med,2005, 352(16):1685-1695. [12] Stewart FA, Heeneman S, Te Poele J, et al. Ionizing radiation accelerates the development of atherosclerotic lesions in ApoE-/-mice and predisposes to an inflammatory plaque phenotype prone to hemorrhage[J]. Am J Pathol,2006,168(2):649-658. [13] Liu LK, Ouyang W, Zhao X, et al. Pathogenesis and prevention of radiation-induced myocardial fibrosis[J]. Asian Pac J Cancer Prev,2017,18(3):583-587. [14] Basavaraju SR, Easterly CE. Pathophysiological effects of radiation on athero-sclerosis development and progression, and the incidence of cardiovascular complications[J]. Med Phys,2002,29(10):2391-2403. [15] Carlson RG, Mayfield WR, Normann S, et al. Radiation-associated valvular disease[J]. Chest,1991,99(3):538-545. [16] Wethal T, Lund M-B, Edvardsen T, et al. Valvular dysfunction and left ventricular changes in Hodgkin's lymphoma survivors.A longitudinal study[J]. Br J Cancer,2009, 101(4):575-581. [17] Groarke JD, Tanguturi VK, Hainer J, et al. Abnormal exercise response in long-term survivors of Hodgkin lymphoma treated with thoracic irradiation:evidence of cardiac autonomic dysfunction and impact on outcomes[J]. J Am Coll Cardiol,2015,65(6):573-583. [18] Nielsen KM, Offersen BV, Nielsen HM, et al. Short and long term radiation induced cardiovascular disease in patients with cancer[J].Clin Cardiol,2017,40(4):255-261. [19] Yusuf SW, Sami S, Daher IN. Radiation-induced heart disease:a clinical update[J]. Cardiol Res Pract,2011,317659. [20] Yusuf SW, Hassan SA, Mouhayar E, et al. Pericardial disease:a clinical review[J]. Expert Rev Cardiovasc Ther,2016,14(4):525-539. [21] Fukada J, Shigematsu N, Ohashi T, et al.Pericardial and pleural effusions after definitive radiotherapy for esophageal cancer[J]. J Radiat Res,2012,53(3):447-453. [22] Wei X, Liu HH, Tucker SL, et al. Risk factors for pericardial effusion in inoperable esophageal cancer patients treated with definitive chemoradiation therapy[J]. Int J Radiat Oncol Biol Phys,2008,70(3):707-714. [23] Avgerinos D, Rabitnokov Y, Worku B, et al.Fifteen-year experience and outcomes of pericardiectomy for constrictive pericarditis[J]. J Card Surg,2014, 29(4):434-438. [24] Bertog SC, Thambidorai SK, Parakh K, et al. Constrictive pericarditis:etiology and cause-specific survival after pericardiectomy[J]. J Am Coll Cardiol,2004,43(8):1445-1452. [25] Correa CR, Litt HI, Hwang WT, et al. Coronary artery findings after left-sided compared with right-sided radiation treatment for early-stage breast cancer[J]. J Clin Oncol,2007, 25(21):3031-3037. [26] Harris EER, Correa C, Hwang WT, et al. Late cardiac mortality and morbidity in early-stage breast cancer patients after breast-conservation treatment[J]. J Clin Oncol,2006,24(25):4100-4106. [27] Wang K, Eblan MJ, Deal AM, et al. Cardiac toxicity after radiotherapy for stage Ⅲ non-small-cell lung cancer:pooled analysis of dose-escalation trials delivering 70 to 90 Gy[J]. J Clin Oncol,2017,35(13):1387-1394. [28] Veeragandham RS, Goldin MD. Surgical management of radiation-induced heart disease[J]. Ann Thorac Surg,1998,65(4):1014-1019. [29] Cutter DJ, Schaapveld M, Darby SC, et al. Risk of valvular heart disease after treatment for Hodgkin lymphoma[J]. J Natl Cancer Inst,2015,107(4):djv008. [30] Mulrooney DA, Yeazel MW, Kawashima T, et al. Cardiac outcomes in a cohort of adult survivors of childhood and adolescent cancer:retrospective analysis of the Childhood Cancer Survivor Study cohort[J]. BMJ,2009,339:b4606. [31] Gomez DR, Yusuf SW, Munsell M, et al. A prospective exploratory analysis of cardiac biomarkers and electrocardiogram abnormalities in patients receiving thoracic radiation therapy with high-dose heart exposure[J]. J Thorac Oncol,2014,9(10):1554-1560. [32] Kramer MR, Estenne M, Berkman N, et al. Radiation-induced pulmonary veno-occlusive disease[J]. Chest,1993,104(4):1282-1284. [33] Palumbo I, Palumbo B, Fravolini ML,et al. Brain natriuretic peptide as a cardiac marker of transient radiotherapy-related damage in left-sided breast cancer patients:a prospective study[J]. Breast,2016,25:45-50. [34] Skytta T, Tuohinen S, Boman E, et al. Troponin T-release associates with cardiac radiation doses during adjuvant left-sided breast cancer radiotherapy[J]. Radiat Oncol,2015,10:141. |
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