Cardiotoxic Profile and Arterial Stiffness of Adjuvant Chemotherapy for Colorectal Cancer.

adjuvant chemotherapy arterial stiffness colorectal cancer

Journal

Cancer management and research
ISSN: 1179-1322
Titre abrégé: Cancer Manag Res
Pays: New Zealand
ID NLM: 101512700

Informations de publication

Date de publication:
2020
Historique:
received: 12 07 2019
accepted: 03 10 2019
entrez: 28 2 2020
pubmed: 28 2 2020
medline: 28 2 2020
Statut: epublish

Résumé

Even though new cancer therapies have improved the overall survival, in some cases they have been associated with adverse effects, including increased cardiotoxicity. The purpose of the present study was to assess the cardiovascular effects of adjuvant chemotherapy for colorectal cancer and mainly the impact on arterial stiffness indices. A total of 70 patients with non-metastatic colorectal cancer who were treated either with FOLFOX (n=16) or with XELOX (n=54) adjuvant chemotherapy were included in the study. All patients were subjected to full cardiovascular evaluation at the beginning and the end of chemotherapy. Arterial stiffness was assessed by means of pulse wave velocity (PWV) and augmentation index (Aix) and full laboratory examinations were conducted prior to, and soon after, the termination of chemotherapy. Patients exhibited significantly higher levels of carotid-radial PWV, carotid femoral RWV and Aix post-chemotherapy (p<0.001); these findings remained significant when examined separately in each treatment subgroup (FOLFOX, XELOX). The observed changes were independent of treatment regimen and baseline patient characteristics. Univariate regression analyses showed that baseline PWVc-r and PWVc-f were the only factors associated with PWVc-r and PWVc-f change, while Aix change was independent of its baseline value. There is a clear burden in arterial stiffness indices post-adjuvant chemotherapy for colorectal cancer in both chemotherapy groups. This is a finding of important clinical significance, however more prospective studies are required in order to encode the possible mechanisms involved.

Sections du résumé

BACKGROUND AND PURPOSE OBJECTIVE
Even though new cancer therapies have improved the overall survival, in some cases they have been associated with adverse effects, including increased cardiotoxicity. The purpose of the present study was to assess the cardiovascular effects of adjuvant chemotherapy for colorectal cancer and mainly the impact on arterial stiffness indices.
MATERIAL AND METHODS METHODS
A total of 70 patients with non-metastatic colorectal cancer who were treated either with FOLFOX (n=16) or with XELOX (n=54) adjuvant chemotherapy were included in the study. All patients were subjected to full cardiovascular evaluation at the beginning and the end of chemotherapy. Arterial stiffness was assessed by means of pulse wave velocity (PWV) and augmentation index (Aix) and full laboratory examinations were conducted prior to, and soon after, the termination of chemotherapy.
RESULTS RESULTS
Patients exhibited significantly higher levels of carotid-radial PWV, carotid femoral RWV and Aix post-chemotherapy (p<0.001); these findings remained significant when examined separately in each treatment subgroup (FOLFOX, XELOX). The observed changes were independent of treatment regimen and baseline patient characteristics. Univariate regression analyses showed that baseline PWVc-r and PWVc-f were the only factors associated with PWVc-r and PWVc-f change, while Aix change was independent of its baseline value.
CONCLUSION CONCLUSIONS
There is a clear burden in arterial stiffness indices post-adjuvant chemotherapy for colorectal cancer in both chemotherapy groups. This is a finding of important clinical significance, however more prospective studies are required in order to encode the possible mechanisms involved.

Identifiants

pubmed: 32104097
doi: 10.2147/CMAR.S223032
pii: 223032
pmc: PMC7025666
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1175-1185

Informations de copyright

© 2020 Visvikis et al.

Déclaration de conflit d'intérêts

The authors report no conflicts of interest in this work.

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Auteurs

A Visvikis (A)

Third Department of Medical Oncology, Agioi Anargyroi General Oncology Hospital of Kifissia, Athens, Greece.

S M Kyvelou (SM)

Cardiology Department, First Cardiology Clinic, Athens Medical School, Hippokration Hospital, Athens, Greece.

P Pietri (P)

Cardiology Department, First Cardiology Clinic, Athens Medical School, Hippokration Hospital, Athens, Greece.

C Georgakopoulos (C)

Cardiology Department, First Cardiology Clinic, Athens Medical School, Hippokration Hospital, Athens, Greece.

K Manousou (K)

Third Department of Medical Oncology, Agioi Anargyroi General Oncology Hospital of Kifissia, Athens, Greece.

D Tousoulis (D)

Cardiology Department, First Cardiology Clinic, Athens Medical School, Hippokration Hospital, Athens, Greece.

C Stefanadis (C)

Cardiology Department, First Cardiology Clinic, Athens Medical School, Hippokration Hospital, Athens, Greece.

C Vlachopoulos (C)

Cardiology Department, First Cardiology Clinic, Athens Medical School, Hippokration Hospital, Athens, Greece.

D Pektasides (D)

Second Department of Internal Medicine, School of Medicine, University of Athens, Athens, Greece.

Classifications MeSH