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Year : 2020  |  Volume : 30  |  Issue : 5  |  Page : 11-16

Vascular damage – Coronary artery disease


1 Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy
2 Department of Cardiology, University Hospital Città della Scienza e Salute, Molinette Hospital, Turin, Italy
3 Department of Cardiology, Hospital Policlinico of Bari, Bari, Italy

Correspondence Address:
Dr. Christian Cadeddu Dessalvi
Department of Medical Sciences and Public Health, University of Cagliari, Cagliari
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcecho.jcecho_3_19

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Cardiovascular complications during chemotherapy and radiotherapy are becoming an increasing problem because many patients with cancer are treated with agents that exert significant vascular toxicity. Coronary heart disease in patients with cancer presents particular challenges, which directly impact the management of both the coronary disease and malignancy. Several chemotherapeutic agents have been shown to trigger ischemic heart disease, and as it has happened for myocardial cardiotoxicity, more attention should be dedicated to improving early recognition and prevention of cardiac vascular toxicity. Cardiac imaging could facilitate early detection of vascular toxicity, but a thorough risk stratification should always be performed to identify patients at higher risk of vascular impairment.


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