Evidence map›Paper›PMID 33983833›Full record

ReviewCirculation research2021

Heart Failure With Targeted Cancer Therapies: Mechanisms and Cardioprotection.

Virginia S Hahn, Kathleen W Zhang, Lova Sun, Vivek Narayan, Daniel J Lenihan, Bonnie Ky

Open access · bronzeAbstract readReview
In one paragraph

Review in Circulation research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 1 pooled it
6.9field-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

47 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

  1. Pooled it
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  6. Caught in the crossfire: cardiac complications of cancer therapy.The Journal of clinical investigation · 2026
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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

6 authors at 3 institutions in 1 country.

Virginia S HahnDivision of Cardiology, Johns Hopkins School of Medicine, Baltimore, MD (V.S.H.).
Kathleen W ZhangCardio-Oncology Center of Excellence, Washington University, St Louis, MO (K.W.Z., D.J.L.).
Lova SunPenn Cardio-Oncology Translational Center of Excellence, Abramson Cancer Center (L.S., V.N., B.K.), Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Vivek NarayanPenn Cardio-Oncology Translational Center of Excellence, Abramson Cancer Center (L.S., V.N., B.K.), Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Daniel J LenihanCardio-Oncology Center of Excellence, Washington University, St Louis, MO (K.W.Z., D.J.L.).
Bonnie KyPenn Cardio-Oncology Translational Center of Excellence, Abramson Cancer Center (L.S., V.N., B.K.), Perelman School of Medicine, University of Pennsylvania, Philadelphia.
University of Pennsylvania · USWashington University in St. Louis · USJohns Hopkins University · US

Funding

Mechanistic Risk Prediction of Radiation Therapy CardiotoxicityR01HL148272 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI KY, BONNIE · 2020 to 2024
$3.7M
Markers of Cardiotoxicity with Radiation Therapy in Breast CancerR01HL152707 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI BEKELMAN, JUSTIN, KY, BONNIE · 2020 to 2023
$1.6M
Planning Grant for CARISMA - Cancer therapy Risk-reduction with Intensive Systolic BP ManagementR34HL146927 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI KY, BONNIE, MARGULIES, KENNETH BER · 2019 to 2020
$757k
Markers of Oxidative and Nitrosative Stress in Anthracycline Cardiotoxicity and Statin CardioprotectionR21HL141802 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI KY, BONNIE · 2018 to 2019
$469k
Strategies in Cardiotoxicity Risk Reduction with Breast Cancer TherapyR21HL150723 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI KY, BONNIE · 2020 to 2021
$464k
The Feasibility of a Biomarker Guided Strategy in Anthracycline CardiotoxicityR21HL152148 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI KY, BONNIE · 2020 to 2021
$461k
NHLBI NIH HHS R01 HL148272NHLBI NIH HHS R01 HL152707NHLBI NIH HHS R21 HL141802NHLBI NIH HHS R21 HL150723NHLBI NIH HHS R21 HL152148NHLBI NIH HHS R34 HL146927
6 · The paper itself

Abstract

Oncology has seen growing use of newly developed targeted therapies. Although this has resulted in dramatic improvements in progression-free and overall survival, challenges in the management of toxicities related to longer-term treatment of these therapies have also become evident. Although a targeted approach often exploits the differences between cancer cells and noncancer cells, overlap in signaling pathways necessary for the maintenance of function and survival in multiple cell types has resulted in systemic toxicities. In particular, cardiovascular toxicities are of important concern. In this review, we highlight several targeted therapies commonly used across a variety of cancer types, including HER2 (human epidermal growth factor receptor 2)+ targeted therapies, tyrosine kinase inhibitors, immune checkpoint inhibitors, proteasome inhibitors, androgen deprivation therapies, and MEK (mitogen-activated protein kinase kinase)/BRAF (v-raf murine sarcoma viral oncogene homolog B) inhibitors. We present the oncological indications, heart failure incidence, hypothesized mechanisms of cardiotoxicity, and potential mechanistic rationale for specific cardioprotective strategies.

Indexed as

Androgen AntagonistsAnthracyclinesAntineoplastic Agents, ImmunologicalCardiotonic AgentsCardiotoxicityHeart FailureHumansImmunotherapyIncidenceMolecular Targeted TherapyNeoplasmsProteasome InhibitorsProtein Kinase InhibitorsAndrogen AntagonistsAnthracyclinesAntineoplastic Agents, ImmunologicalCardiotonic AgentsProteasome InhibitorsProtein Kinase Inhibitorscardiotoxicityheart failureincidencesurvivaltyrosine

Identifiers

PMID33983833
PMCPMC8765442
OpenAlexW3161297923

What OpenQuestion holds

Textmetadata
LicenceTDM
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.