Right ventricle toxicity in cancer treatment: a focused review on cardiac imaging.

IF 1.6 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Future cardiology Pub Date : 2023-09-01 Epub Date: 2023-10-13 DOI:10.2217/fca-2022-0024
Ghazal Sanadgol, Sahar Samimi, Dorsa Shirini, Pooria Nakhaei, Mina Mohseni, Azin Alizadehasl
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Abstract

Background: The right ventricle (RV) remains the 'forgotten chamber' in the clinical assessment of cancer therapy-related cardiac dysfunction (CTRCD). Aim: We aimed to review the role that various cardiac imaging modalities play in RV assessment as part of the integrative management of patients undergoing cancer therapy. Discussion: RV assessment remains challenging by traditional 2D echocardiography. In this review we discuss other parameters such as right atrial strain, and other echocardiographic modalities such as 3D and stress echocardiography. We also elaborate on the specific role that cardiac magnetic resonance imaging and equilibrium radionuclide angiocardiography can play in assessing the RV. Conclusion: Biventricular function should be monitored following chemotherapy for early detection of subclinical CTRCD and possible solitary RV changes.

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癌症治疗中的右心室毒性:心脏影像学重点综述。
背景:在癌症治疗相关心功能不全(CTCDC)的临床评估中,右心室(RV)仍然是“被遗忘的室”。目的:作为癌症治疗患者综合管理的一部分,我们旨在回顾各种心脏成像方式在RV评估中的作用。讨论:传统的二维超声心动图评估RV仍然具有挑战性。在这篇综述中,我们讨论了其他参数,如右心房应变,以及其他超声心动图模式,如三维和应力超声心动图。我们还详细阐述了心脏磁共振成像和平衡放射性核素心血管造影在评估RV中的具体作用。结论:化疗后应监测双心室功能,以早期发现亚临床CTRCD和可能的孤立性RV变化。
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来源期刊
Future cardiology
Future cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
2.80
自引率
5.90%
发文量
87
期刊介绍: Research advances have contributed to improved outcomes across all specialties, but the rate of advancement in cardiology has been exceptional. Concurrently, the population of patients with cardiac conditions continues to grow and greater public awareness has increased patients" expectations of new drugs and devices. Future Cardiology (ISSN 1479-6678) reflects this new era of cardiology and highlights the new molecular approach to advancing cardiovascular therapy. Coverage will also reflect the major technological advances in bioengineering in cardiology in terms of advanced and robust devices, miniaturization, imaging, system modeling and information management issues.
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