Cardiovascular Care of the Oncology Patient During COVID-19: An Expert Consensus Document From the ACC Cardio-Oncology and Imaging Councils.


Journal

Journal of the National Cancer Institute
ISSN: 1460-2105
Titre abrégé: J Natl Cancer Inst
Pays: United States
ID NLM: 7503089

Informations de publication

Date de publication:
04 05 2021
Historique:
received: 31 05 2020
revised: 21 09 2020
accepted: 02 11 2020
pubmed: 13 11 2020
medline: 18 5 2021
entrez: 12 11 2020
Statut: ppublish

Résumé

In response to the coronavirus disease 2019 (COVID-19) pandemic, the Cardio-Oncology and Imaging Councils of the American College of Cardiology offers recommendations to clinicians regarding the cardiovascular care of cardio-oncology patients in this expert consensus statement. Cardio-oncology patients-individuals with an active or prior cancer history and with or at risk of cardiovascular disease-are a rapidly growing population who are at increased risk of infection, and experiencing severe and/or lethal complications by COVID-19. Recommendations for optimizing screening and monitoring visits to detect cardiac dysfunction are discussed. In addition, judicious use of multimodality imaging and biomarkers are proposed to identify myocardial, valvular, vascular, and pericardial involvement in cancer patients. The difficulties of diagnosing the etiology of cardiovascular complications in patients with cancer and COVID-19 are outlined, along with weighing the advantages against risks of exposure, with the modification of existing cardiovascular treatments and cardiotoxicity surveillance in patients with cancer during the COVID-19 pandemic.

Identifiants

pubmed: 33179744
pii: 5976921
doi: 10.1093/jnci/djaa177
pmc: PMC7717327
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

513-522

Subventions

Organisme : NHLBI NIH HHS
ID : K23 HL144907
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR001863
Pays : United States

Informations de copyright

© The Author(s) 2020. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com.

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Auteurs

Lauren A Baldassarre (LA)

Affiliations of authors: Section of Cardiovascular Medicine, Department of Medicine, Department of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, CT, USA.

Eric H Yang (EH)

UCLA Cardio-Oncology Program, Division of Cardiology, Department of Medicine, University of California at Los Angeles, Los Angeles, CA, USA.

Richard K Cheng (RK)

Cardio-Oncology Program, Department of Medicine, Division of Cardiology and Department of Radiology, University of Washington, Seattle, WA, USA.

Jeanne M DeCara (JM)

Section of Cardiology, Department of Medicine, University of Chicago, Chicago, IL, USA.

Susan Dent (S)

Duke Cancer Institute, Department of Medicine, Duke University, Durham, NC, USA.

Jennifer E Liu (JE)

Cardiology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Lawrence G Rudski (LG)

Azrieli Heart Center, Department of Medicine, Jewish General Hospital, McGill University, Montreal, QC, Canada.

Jordan B Strom (JB)

Richard A. and Susan F. Smith Center for Outcomes Research in Cardiology, Division of Cardiovascular Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.

Paaladinesh Thavendiranathan (P)

Ted Rogers Program in Cardiotoxicity Prevention, Division of Cardiology, Peter Munk Cardiac Centre, University Health Network, University of Toronto, Toronto, ON, Canada.

Ana Barac (A)

Medstar Heart and Vascular Institute, Georgetown University, Washington, DC, USA.

Vlad G Zaha (VG)

Cardio-Oncology Program, Harold C. Simmons Comprehensive Cancer Center, Division of Cardiology, Internal Medicine, UT Southwestern Medical Center, Dallas, TX, USA.

Chiara Bucciarelli-Ducci (C)

Bristol Heart Institute, Bristol National Institute of Health Research (NIHR) Biomedical Research Centre, University Hospitals Bristol NHS Trust and University of Bristol, Bristol, UK.

Samer Ellahham (S)

Heart and Vascular Institute, Cleveland Clinic-Abu Dhabi, Abu Dhabi, United Arab Emirates.

Anita Deswal (A)

Department of Cardiology, Division of Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Carrie Lenneman (C)

Division of Cardiology, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.

Hector R Villarraga (HR)

Department of Cardiovascular Diseases, Mayo Clinic College of Medicine, Rochester, MN, USA.

Anne H Blaes (AH)

Division of Hematology and Oncology, University of Minnesota, Minneapolis, MN, USA.

Roohi Ismail-Khan (R)

Cardio-Oncology Program, Division of Oncologic Sciences, H. Lee Moffitt Cancer Center, University of South Florida, Tampa, FL, USA.

Bonnie Ky (B)

Division of Cardiology, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

Monika J Leja (MJ)

Division of Cardiovascular Medicine, Department of Medicine, University of Michigan, Ann Arbor, MI, USA.

Marielle Scherrer-Crosbie (M)

Division of Cardiology, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

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