Cardiovascular adverse events in modern myeloma therapy - incidence and risks: a review from the European Myeloma Network (EMN) and Italian Society of Arterial Hypertension (SIIA)

Cardiovascular disease in patients with multiple myeloma may derive from factors unrelated to the disease (age, diabetes, dyslipidemia, obesity, prior cardiovascular diseases), related to the disease (cardiac AL-amyloidosis, hyperviscosity, high-output failure, arteriovenous shunting, anemia, renal...

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Bibliographic Details
Main Authors: Bringhen, Sara (Author) , Goldschmidt, Hartmut (Author)
Format: Article (Journal)
Language:English
Published: July 26, 2018
In: Haematologica
Year: 2018, Volume: 103, Issue: 9, Pages: 1422-1432
ISSN:1592-8721
DOI:10.3324/haematol.2018.191288
Online Access:Verlag, Volltext: https://doi.org/10.3324/haematol.2018.191288
Verlag, Volltext: http://www.haematologica.org/content/103/9/1422
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Author Notes:Sara Bringhen, Alberto Milan, Claudio Ferri, Ralph Wäsch, Francesca Gay, Alessandra Larocca, Marco Salvini, Evangelos Terpos, Hartmut Goldschmidt, Michele Cavo, Maria Teresa Petrucci, Heinz Ludwig, Holger W. Auner, Jo Caers, Martin Gramatzki, Mario Boccadoro, Hermann Einsele, Pieter Sonneveld and Monika Engelhardt
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Summary:Cardiovascular disease in patients with multiple myeloma may derive from factors unrelated to the disease (age, diabetes, dyslipidemia, obesity, prior cardiovascular diseases), related to the disease (cardiac AL-amyloidosis, hyperviscosity, high-output failure, arteriovenous shunting, anemia, renal dysfunction) and/or related to anti-myeloma treatment (anthracyclines, corticosteroids, alkylating agents, immunomodulatory drugs, proteasome inhibitors). Good knowledge of cardiovascular events, effective dose reductions, prevention and management of early and late cardiovascular side effects of chemotherapeutic agents are essential in current clinical practice. Myeloma experts are obliged to carefully balance the efficacy and toxicity of drugs for each individual patient. This review summarizes current data and novel insights into cardiovascular adverse events of today’s anti-myeloma treatment, focusing on carfilzomib, as a starting point for developing consensus recommendations on preventing and managing cardiovascular side effects in patients with multiple myeloma.
Item Description:Gesehen am 10.09.2019
Physical Description:Online Resource
ISSN:1592-8721
DOI:10.3324/haematol.2018.191288