‘Cardiotoxicity’ of common cancer therapies
LVSD | HTN | Angina | ACS | Takotsubo | Stroke | PAD | PHTN | DVT/PE | |
Anthracyclines | X | ||||||||
5-FU | X | X | X | X | |||||
Gemcitabine | X | X | |||||||
Paclitaxel | X | X | X | X | |||||
Cisplatin | X | X | X | X | X | ||||
Bleomycin | X | X | X | X | |||||
Vincristine | X | X | X | ||||||
Cyclophos-phamide | X | X | X | ||||||
mTOR inhibitors | X | X | X | ||||||
Carfilzomib | X | X | X | X | |||||
Bevacizumab | X | X | X | X | X | X | X | ||
Sunitinib | X | X | X | X | X | X | X | ||
Nilotinib | X | X | X | X | X | ||||
Dasatanib | X | X | |||||||
Thalidomide | X | ||||||||
Rituximab | X | X | X | X |
ACS, acute coronary syndrome; DVT/PE, deep vein thrombosis/pulmonary embolism; 5-FU, 5 fluorouracil; EF, ejection fraction; HF, heart failure; HTN, hypertension; LVSD, left ventricular systolic dysfunction > 2% incidence as clinical HF or symptomatic or asymptomatic fall in EF >10%; mTOR, mammalian Target of Rapamycin; PAD, peripheral arterial disease; PHTN, pulmonary hypertension; Takutsobo, Takutsobo cardiomyopathy (adapted from Hermann Circ 2016; 133: 1272–89 and Zamorano et al EHJ 2016;37: 2768.