Evidence map›Paper›PMID 31165940›Full record

ReviewBreast cancer research and treatment2019

HER2+ breast cancer treatment and cardiotoxicity: monitoring and management.

Guy Jerusalem, Patrizio Lancellotti, Sung-Bae Kim

Open access · hybridAbstract readReview
In one paragraph

Review in Breast cancer research and treatment, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 93 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
93citing papers in PubMed, 2 pooled it
8.9field-weighted citation impact, top 2% 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

93 citing papers in PubMed, 2 syntheses or guidelines pooled it, 171 citations in OpenAlex.

  1. Pooled it
  2. Brazilian Cardio-oncology Guideline - 2020.Arquivos brasileiros de cardiologia · 2020
    Guideline
  3. Trial
  4. Trial
  5. The gut-heart axis in cardio-oncology.Cardiovascular research · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. 'Patients are left not knowing': Trastuzumab (Herceptin) cardiac risk information and management in HER2-positive breast cancer-a qualitative study of patient experience.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Mechanistic study of antisense long non-coding RNAExploration of targeted anti-tumor therapy · 2026
    Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Overexpression of cytoplasmic poly(A)-binding protein 1 as a biomarker for the prognosis and selection of postoperative regimen in breast cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Article
  20. Review

33 more citing papers are in PubMed but not listed here.

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

3 authors at 2 institutions in 2 countries.

Guy JerusalemDepartment of Medical Oncology, Centre Hospitalier Universitaire du Sart-Tilman, University of Liege, Liège, Belgium. g.jerusalem@chu.ulg.ac.be.ORCID http://orcid.org/0000-0002-8845-0043
Patrizio LancellottiGIGA Cardiovascular Sciences, Department of Cardiology, Centre Hospitalier Universitaire du Sart-Tilman, University of Liege, Liège, Belgium.
Sung-Bae KimAsan Medical Center, University of Ulsan College of Medicine, 88, Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Korea.
University of Liège · BEUlsan College · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBreast cancer is a leading cause of death for women worldwide, with incidence increasing in lower-income countries. For patients with human epidermal growth factor receptor-2-positive (HER2+) breast cancer, widespread availability of several agents targeting the HER2 receptor has resulted in survival gains over the past decades. However, improved survival has resulted in an increased need for management and mitigation of adverse events associated with anticancer therapy. Cardiac adverse events such as decreased ejection fraction and heart failure have been of particular concern in patients with HER2+ breast cancer. Anti-HER2 agents and chemotherapies (specifically anthracyclines, which are frequently used to treat HER2+ disease) have been associated with cardiotoxicity. As increasing numbers of patients are living longer due to more effective therapy, a better understanding of both monitoring and management of cardiotoxicity is urgently needed.

methodsA comprehensive review of the literature was conducted via PubMed in January 2018 for phase II and phase III trials of "trastuzumab", "lapatinib", "pertuzumab", "T-DM1", "neratinib", in "breast cancer". Literature was evaluated for content related to cardiac adverse events.

findingsWe describe the incidence of and proposed mechanisms for the cardiotoxicity of available HER2-targeted therapies. We summarize current and emerging practices in the management of cardiotoxicity and provide guidance for routine patient care in real-world practice using illustrative patient scenarios.

conclusionsThe future of cardiotoxicity management in patients with HER2+ breast cancer is discussed, with a focus on novel techniques to improve cardiac outcomes, including new imaging modalities, biomarkers, interventional therapies, and ongoing trials.

Indexed as

Pharmacogenomic VariantsAntineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsCardiotoxicityClinical Trials as TopicDisease ManagementDrug MonitoringErb-b2 Receptor Tyrosine KinasesFemaleHumansIncidenceMolecular Targeted TherapyERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesAnthracyclinesBreast neoplasmsCardiotoxicityTrastuzumab

Identifiers

PMID31165940
PMCPMC6661020
OpenAlexW2951923105

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.