Evidence map›Paper›PMID 32361151›Full record

ReviewBreast (Edinburgh, Scotland)2020

Cardiac monitoring in HER2-positive patients on trastuzumab treatment: A review and implications for clinical practice.

Nathalie I Bouwer, Agnes Jager, Crista Liesting, Marcel J M Kofflard, Jasper J Brugts, Jos J E M Kitzen, Eric Boersma, Mark-David Levin

Open access · goldAbstract readReview
In one paragraph

Review in Breast (Edinburgh, Scotland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
3.9field-weighted citation impact, top 5% 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

36 citing papers in PubMed, 52 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Caught in the crossfire: cardiac complications of cancer therapy.The Journal of clinical investigation · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Multifaceted roles of neutrophils in cardiac disease.Journal of leukocyte biology · 2025
    Review
  11. Review
  12. How We Monitor Cardiac Health in Breast Cancer Survivors.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
    Review
  13. Article
  14. Neoadjuvant chemotherapy and perioperative cardiotoxicity.Journal of anesthesia and translational medicine · 2024
    Review
  15. Review
  16. Review
  17. Article
  18. Late cardiotoxicity related to HER2-targeted cancer therapy.Cardio-oncology (London, England) · 2024
    Article
  19. Article
  20. Article
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

8 authors at 3 institutions in 1 country.

Nathalie I BouwerDepartment of Cardiology, Albert Schweitzer Hospital, Albert Schweitzerplaats 25, 3300 AK, Dordrecht, the Netherlands; Department of Internal Medicine, Albert Schweitzer Hospital, Albert Schweitzerplaats 25, 3300 AK, Dordrecht, the Netherlands.
Agnes JagerDepartment of Medical Oncology, Erasmus MC Cancer Institute, Dr. Molewaterplein 40, 3000 CA, Rotterdam, the Netherlands.
Crista LiestingDepartment of Cardiology, Albert Schweitzer Hospital, Albert Schweitzerplaats 25, 3300 AK, Dordrecht, the Netherlands.
Marcel J M KofflardDepartment of Cardiology, Albert Schweitzer Hospital, Albert Schweitzerplaats 25, 3300 AK, Dordrecht, the Netherlands.
Jasper J BrugtsDepartment of Cardiology, Erasmus MC Thoraxcenter, Dr. Molewaterplein 40, 3000 CA, Rotterdam, the Netherlands.
Jos J E M KitzenDepartment of Internal Medicine, Albert Schweitzer Hospital, Albert Schweitzerplaats 25, 3300 AK, Dordrecht, the Netherlands.
Eric BoersmaDepartment of Cardiology, Erasmus MC Thoraxcenter, Dr. Molewaterplein 40, 3000 CA, Rotterdam, the Netherlands.
Mark-David LevinDepartment of Internal Medicine, Albert Schweitzer Hospital, Albert Schweitzerplaats 25, 3300 AK, Dordrecht, the Netherlands. Electronic address: m-d.levin@asz.nl.
Albert Schweitzer Ziekenhuis · NLErasmus University Rotterdam · NLErasmus MC Cancer Institute · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Trastuzumab prolongs progression-free and overall survival in patients with human epidermal growth factor receptor 2 (HER2) positive breast cancer. However, trastuzumab treatment is hampered by cardiotoxicity, defined as a left ventricular ejection fraction (LVEF) decline with a reported incidence ranging from 3 to 27% depending on variable factors. Early identification of patients at increased risk of trastuzumab-induced myocardial damage is of great importance to prevent deterioration to irreversible cardiotoxicity. Although current cardiac monitoring with multi gated acquisition (MUGA) scanning and/or conventional 2D-echocardiography (2DE) have a high availability, their reproducibility are modest, and more sensitive and reliable techniques are needed such as 3D-echocardiography (3DE) and speckle tracking echocardiography (STE). But which other diagnostic imaging modalities are available for patients before and during trastuzumab treatment? In addition, what is the optimal frequency and duration of cardiac monitoring? At last, which biomarker monitoring strategies are currently available for the identification of cardiotoxicity in patients treated with trastuzumab?

Indexed as

Antineoplastic Agents, ImmunologicalBiomarkersBreast NeoplasmsCardiotoxicityC-Reactive ProteinEchocardiographyEchocardiography, Three-DimensionalErb-b2 Receptor Tyrosine KinasesFemaleHumansImmunoglobulin EIncidenceInterleukin-1 Receptor-Like 1 ProteinNatriuretic Peptide, BrainPeptide FragmentsPeroxidaseAntineoplastic Agents, ImmunologicalBiomarkersC-Reactive ProteinERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesIL1RL1 protein, humanImmunoglobulin EInterleukin-1 Receptor-Like 1 ProteinNatriuretic Peptide, BrainPeptide FragmentsPeroxidasepro-brain natriuretic peptide (1-76)TrastuzumabTroponinBiomarkersCardiac monitoringCardiotoxicitySpeckle tracking echocardiographyTrastuzumab

Identifiers

PMID32361151
PMCPMC7375662
OpenAlexW3016412670

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.