Evidence map›Paper›PMID 34318387›Full record

ReviewHeart failure reviews2022

Subclinical cardiac damage in cancer patients before chemotherapy.

Iacopo Fabiani, Giorgia Panichella, Alberto Aimo, Chrysanthos Grigoratos, Giuseppe Vergaro, Nicola Riccardo Pugliese, Stefano Taddei, Daniela Maria Cardinale, Claudio Passino, Michele Emdin and 1 more

Open access · hybridAbstract readReview
In one paragraph

Review in Heart failure reviews, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.2field-weighted citation impact, top 11% 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

14 citing papers in PubMed, 21 citations in OpenAlex.

  1. Cardiac Modulation byCurrent issues in molecular biology · 2026
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  9. Cardiology and oncology: a meeting of giants.Revista da Associacao Medica Brasileira (1992) · 2024
    Article
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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

11 authors at 4 institutions in 1 country.

Iacopo FabianiCardiology Division, Fondazione Toscana Gabriele Monasterio, Pisa, Italy. iacopofabiani@gmail.com.
Giorgia PanichellaInstitute of Life Sciences, Scuola Superiore Sant'Anna, Pisa, Italy.
Alberto AimoCardiology Division, Fondazione Toscana Gabriele Monasterio, Pisa, Italy.
Chrysanthos GrigoratosCardiology Division, Fondazione Toscana Gabriele Monasterio, Pisa, Italy.
Giuseppe VergaroCardiology Division, Fondazione Toscana Gabriele Monasterio, Pisa, Italy.
Nicola Riccardo PuglieseInternal Medicine Unit, University Hospital of Pisa, Pisa, Italy.
Stefano TaddeiInternal Medicine Unit, University Hospital of Pisa, Pisa, Italy.
Daniela Maria CardinaleCardioncology Unit, Cardiology Division, European Institute of Oncology, I.R.C.C.S, Milan, Italy.
Claudio PassinoCardiology Division, Fondazione Toscana Gabriele Monasterio, Pisa, Italy.
Michele EmdinCardiology Division, Fondazione Toscana Gabriele Monasterio, Pisa, Italy.
Alberto GiannoniCardiology Division, Fondazione Toscana Gabriele Monasterio, Pisa, Italy.
Scuola Superiore Sant'Anna · ITFondazione Toscana Gabriele Monasterio · ITAzienda Ospedaliera Universitaria Pisana · ITEuropean Institute of Oncology · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cancer and cardiovascular diseases, including heart failure (HF), are the main causes of death in Western countries. Several anticancer drugs and radiotherapy have adverse effects on the cardiovascular system, promoting left ventricular dysfunction and ultimately HF. Nonetheless, the relationship between cancer and HF is likely not unidirectional. Indeed, cancer and HF share common risk factors, and both have a bidirectional relationship with systemic inflammation, metabolic disturbances, and neurohormonal and immune activation. Few studies have assessed the impact of untreated cancer on the heart. The presence of an active cancer has been associated with elevated cardiac biomarkers, an initial impairment of left ventricular structure and function, autonomic dysfunction, and reduced exercise tolerance. In turn, these conditions might increase the risk of cardiac damage from chemotherapy and radiotherapy. HF drugs such as beta-blockers or inhibitors of the renin-angiotensin-aldosterone system might exert a protective effect on the heart even before the start of cancer therapies. In this review, we recapitulate the evidence of cardiac involvement in cancer patients naïve from chemotherapy and radiotherapy and no history of cardiac disease. We also focus on the perspectives for an early diagnosis and treatment to prevent the progression to cardiac dysfunction and clinical HF, and the potential benefits of cardioactive drugs on cancer progression.

Indexed as

Heart DiseasesHeart FailureNeoplasmsVentricular Dysfunction, LeftHeartHumansRenin-Angiotensin SystemCancerCardiac toxicityCardiovascular diseaseHeart failure

Identifiers

PMID34318387
PMCPMC9197815
OpenAlexW3185374979

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.