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Role of cardiovascular imaging in cancer patients receiving cardiotoxic therapies: a position statement on behalf of the H eart F ailure A ssociation ( HFA ), the E uropean A ssociation of C ardiovascular I maging ( EACVI ) and the Cardio‐Oncology C ouncil of the E uropean S ociety of C ardiology ( ESC )
Author(s) -
Čelutkienė Jelena,
Pudil Radek,
LópezFernández Teresa,
Grapsa Julia,
Nihoyannopoulos Petros,
BerglerKlein Jutta,
CohenSolal Alain,
Farmakis Dimitrios,
Tocchetti Carlo Gabriele,
Haehling Stephan,
Barberis Vassilis,
Flachskampf Frank A.,
Čeponienė Indrė,
HaeglerLaube Eva,
Suter Thomas,
Lapinskas Tomas,
Prasad Sanjay,
Boer Rudolf A.,
Wechalekar Kshama,
Anker Markus S.,
Iakobishvili Zaza,
BucciarelliDucci Chiara,
SchulzMenger Jeanette,
Cosyns Bernard,
Gaemperli Oliver,
Belenkov Yury,
Hulot JeanSébastien,
Galderisi Maurizio,
Lancellotti Patrizio,
Bax Jeroen,
Marwick Thomas H.,
Chioncel Ovidiu,
Jaarsma Tiny,
Mullens Wilfried,
Piepoli Massimo,
Thum Thomas,
Heymans Stephane,
Mueller Christian,
Moura Brenda,
Ruschitzka Frank,
Zamorano Jose Luis,
Rosano Giuseppe,
Coats Andrew J.S.,
Asteggiano Riccardo,
Seferovic Petar,
Edvardsen Thor,
Lyon Alexander R.
Publication year - 2020
Publication title -
european journal of heart failure
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 5.149
H-Index - 133
eISSN - 1879-0844
pISSN - 1388-9842
DOI - 10.1002/ejhf.1957
Subject(s) - medicine , heart failure , cancer , cardiotoxicity , magnetic resonance imaging , ejection fraction , trastuzumab , cardiology , oncology , cardiac imaging , cardiac magnetic resonance imaging , breast cancer , chemotherapy , radiology
Cardiovascular (CV) imaging is an important tool in baseline risk assessment and detection of CV disease in oncology patients receiving cardiotoxic cancer therapies. This position statement examines the role of echocardiography, cardiac magnetic resonance, nuclear cardiac imaging and computed tomography in the management of cancer patients. The Imaging and Cardio‐Oncology Study Groups of the Heart Failure Association (HFA) of the European Society of Cardiology (ESC) in collaboration with the European Association of Cardiovascular Imaging (EACVI) and the Cardio‐Oncology Council of the ESC have evaluated the current evidence for the value of modern CV imaging in the cardio‐oncology field. The most relevant echocardiographic parameters, including global longitudinal strain and three‐dimensional ejection fraction, are proposed. The protocol for baseline pre‐treatment evaluation and specific surveillance algorithms or pathways for anthracycline chemotherapy, HER2‐targeted therapies such as trastuzumab, vascular endothelial growth factor tyrosine kinase inhibitors, BCr‐Abl tyrosine kinase inhibitors, proteasome inhibitors and immune checkpoint inhibitors are presented. The indications for CV imaging after completion of oncology treatment are considered. The typical consequences of radiation therapy and the possibility of their identification in the long term are also summarized. Special populations are discussed including female survivors planning pregnancy, patients with carcinoid disease, patients with cardiac tumours and patients with right heart failure. Future directions and ongoing CV imaging research in cardio‐oncology are discussed.