Evidence map›Paper›PMID 29423705›Full record

ReviewCurrent atherosclerosis reports2018

Chemotherapeutic Agents and the Risk of Ischemia and Arterial Thrombosis.

Saamir A Hassan, Nicolas Palaskas, Peter Kim, Cezar Iliescu, Juan Lopez-Mattei, Elie Mouhayar, Rohit Mougdil, Kara Thompson, Jose Banchs, Syed Wamique Yusuf

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current atherosclerosis reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Risk of Cardiovascular Disease in Women With and Without Breast Cancer: The Pathways Heart Study.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2022
    Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Saamir A HassanDepartment of Cardiology, Division of Medicine, MD Anderson Cancer Center, 1400 Pressler, Box 1451, Houston, TX, 77030, USA. Sahassan1@mdanderson.org.
Nicolas PalaskasDepartment of Cardiology, Division of Medicine, MD Anderson Cancer Center, 1400 Pressler, Box 1451, Houston, TX, 77030, USA.
Peter KimDepartment of Cardiology, Division of Medicine, MD Anderson Cancer Center, 1400 Pressler, Box 1451, Houston, TX, 77030, USA.
Cezar IliescuDepartment of Cardiology, Division of Medicine, MD Anderson Cancer Center, 1400 Pressler, Box 1451, Houston, TX, 77030, USA.
Juan Lopez-MatteiDepartment of Cardiology, Division of Medicine, MD Anderson Cancer Center, 1400 Pressler, Box 1451, Houston, TX, 77030, USA.
Elie MouhayarDepartment of Cardiology, Division of Medicine, MD Anderson Cancer Center, 1400 Pressler, Box 1451, Houston, TX, 77030, USA.
Rohit MougdilDepartment of Cardiology, Division of Medicine, MD Anderson Cancer Center, 1400 Pressler, Box 1451, Houston, TX, 77030, USA.
Kara ThompsonDepartment of Cardiology, Division of Medicine, MD Anderson Cancer Center, 1400 Pressler, Box 1451, Houston, TX, 77030, USA.
Jose BanchsDepartment of Cardiology, Division of Medicine, MD Anderson Cancer Center, 1400 Pressler, Box 1451, Houston, TX, 77030, USA.
Syed Wamique YusufDepartment of Cardiology, Division of Medicine, MD Anderson Cancer Center, 1400 Pressler, Box 1451, Houston, TX, 77030, USA.
The University of Texas MD Anderson Cancer Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewNumerous chemotherapeutic agents have been associated with the development of ischemia and arterial thrombosis. As newer therapies have been developed to treat cancer, some of these chemotherapy drugs have been implicated in the development of vascular disease. In this review, we will summarize the most common chemotherapeutic drug classes that may play a role in the development of ischemic heart disease. RECENT

findingsAngiogenesis inhibitors, alkylating agents, antimetabolites, antimicrotubules, and proteasome inhibitors have a number of cardiovascular toxicities. The possible mechanisms of action of these drugs leading to ischemic complications are varied but include endothelial dysfunction, platelet aggregation, reduced levels of nitrous oxide (NO), and elevated levels of reactive oxygen species (ROS), and vasospasm. While some drugs act through multiple pathways that result in the development of ischemic heart disease, others such as the antimetabolites and antimicrotubules appear to primarily cause vasospasm. Furthermore, while aromatase inhibitors increase the risk of heart disease in comparison to tamoxifen in large studies, this finding likely occurs because of a protective role of tamoxifen on cardiovascular risk factors rather than a direct effect of aromatase inhibitors. Angiogenesis inhibitors, alkylating agents, antimetabolites, antimicrotubules, and proteasome inhibitors can lead to ischemic complications in patients with cancer. Many of these drugs have proven to be effective in improving cancer prognosis, but their possible cardiovascular effects have to be carefully monitored and treated. Treatment of ischemic complications in the setting of cancer therapy should focus on the optimal medical management of known cardiovascular risk factors and follow an evidence-based approach.

Indexed as

Antineoplastic AgentsArterial Occlusive DiseasesCardiovascular SystemHumansMyocardial IschemiaNeoplasmsRisk FactorsThrombosisAntineoplastic AgentsArterial thrombosisCancerChemotherapeutic agentsIschemia

Identifiers

PMID29423705
OpenAlexW2790576365

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.