Herceptin-Mediated Cardiotoxicity: Assessment by Cardiovascular Magnetic Resonance

Autor: Boyang Liu, Jin Jiang, Sandeep Hothi
Rok vydání: 2022
Předmět:
Zdroj: Cardiology Research and Practice. 2022:1-14
ISSN: 2090-0597
2090-8016
DOI: 10.1155/2022/1910841
Popis: Herceptin (trastuzumab) is a recombinant, humanized, monoclonal antibody that targets the human epidermal growth factor receptor 2 (HER2) and is used in the treatment of HER2-positive breast and gastric cancers. However, it carries a risk of cardiotoxicity, manifesting as left ventricular (LV) systolic dysfunction, conventionally assessed for by transthoracic echocardiography. Clinical surveillance of cardiac function and discontinuation of trastuzumab at an early stage of LV systolic dysfunction allow for the timely initiation of heart failure drug therapies that can result in the rapid recovery of cardiac function in most patients. Often considered the reference standard for the noninvasive assessment of cardiac volume and function, cardiac magnetic resonance (CMR) imaging has superior reproducibility and accuracy compared to other noninvasive imaging modalities. However, due to limited availability, it is not routinely used in the serial assessment of cardiac function in patients receiving trastuzumab. In this article, we review the diagnostic and prognostic role of CMR in trastuzumab-mediated cardiotoxicity.
Databáze: OpenAIRE
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