New prospects for the management of cardiovascular effects of tyrosine kinase inhibitors in patients with chronic myeloid leukemia.

Novas perspetivas para a abordagem dos efeitos cardiovasculares dos inibidores da tirosinacinase em doentes com leucemia mieloide crónica.

Journal

Revista portuguesa de cardiologia
ISSN: 2174-2049
Titre abrégé: Rev Port Cardiol (Engl Ed)
Pays: Spain
ID NLM: 101770878

Informations de publication

Date de publication:
Jan 2019
Historique:
received: 24 09 2017
accepted: 08 10 2017
pubmed: 29 1 2019
medline: 18 12 2019
entrez: 29 1 2019
Statut: ppublish

Résumé

The use of tyrosine kinase inhibitors (TKIs) for the treatment of chronic myeloid leukemia has significantly altered the prognosis of this disease, enabling close to normal life expectancy. Despite their undeniable benefits, the use of TKIs is associated with an increased risk of side effects on the cardiovascular system, particularly of atherothrombotic events. It is therefore necessary to understand and prevent the adverse effects of these drugs, in order to enable antileukemic therapy to continue and to minimize patients' toxic exposure. This multidisciplinary consensus document, developed through a collaboration between hematologists and cardiologists, aims to review the cardiovascular toxicity associated with various TKIs and to establish recommendations for the follow-up of these patients. Measures are also proposed for the assessment and reduction of cardiovascular risk in these patients and referral criteria, and relevant drug interactions are discussed.

Identifiants

pubmed: 30686651
pii: S0870-2551(17)30704-7
doi: 10.1016/j.repc.2017.10.013
pii:
doi:

Substances chimiques

Antineoplastic Agents 0
Protein Kinase Inhibitors 0
Protein-Tyrosine Kinases EC 2.7.10.1

Types de publication

Journal Article Review

Langues

eng por

Sous-ensembles de citation

IM

Pagination

1-9

Informations de copyright

Copyright © 2018 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier España, S.L.U. All rights reserved.

Auteurs

Ana G Almeida (AG)

Serviço de Cardiologia, Hospital Universitário de Santa Maria (CHLN), Centro Académico de Medicina de Lisboa e Centro Cardiovascular da Universidade de Lisboa, Faculdade de Medicina, Lisboa, Portugal. Electronic address: anagalmeida@gmail.com.

António Almeida (A)

Serviço de Hematologia, Instituto Português de Oncologia de Lisboa (IPOL FG), Lisboa, Portugal.

Teresa Melo (T)

Serviço de Hematologia, Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal.

Lurdes Guerra (L)

Serviço de Hematologia, Assistente Hospitalar Senior de Hematologia, Lisboa, Portugal.

Luís Lopes (L)

Barts Heart Centre, Barts Health NHS Trust, Institute of Cardiovascular Centre, University College Hospital, Londres, Inglaterra; Centro Cardiovascular da Universidade de Lisboa (CCUL), Lisboa, Portugal.

Patrícia Ribeiro (P)

Serviço de Hematologia Clínica, Hospital dos Capuchos (CHLC), Lisboa, Portugal.

Marta Duarte (M)

Serviço de Hematologia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.

Alexandra Mota (A)

Serviço de Hematologia, Hospital de Santo António, Centro Hospitalar e Universitário do Porto, Porto, Portugal.

Ricardo Fontes-Carvalho (R)

Serviço de Cardiologia, Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal, Departamento de Cirurgia e Fisiologia, Faculdade de Medicina da Universidade do Porto, Porto, Portugal.

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Classifications MeSH