Evidence map›Paper›PMID 40558647›Full record

ReviewJournal of cardiovascular development and disease2025

Lifestyle and Pharmacological Interventions to Prevent Anthracycline-Related Cardiotoxicity in Cancer Patients.

Luigi Spadafora, Francesca Maria Di Muro, Chiara Intonti, Ludovica Massa, Mauro Monelli, Roberto Franco Enrico Pedretti, Edvige Palazzo Adriano, Pasquale Guarini, Gaia Cantiello, Marco Bernardi and 7 more

Abstract readReview
In one paragraph

Review in Journal of cardiovascular development and disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Review
  2. Article
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  7. 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

17 authors.

Luigi SpadaforaDepartment of Medical-Surgical Sciences and Biotechnologies, Sapienza University of Rome, 04100 Latina, Italy.ORCID 0000-0001-6443-4121
Francesca Maria Di MuroDepartment of Medicine, Surgery and Dentistry, University of Salerno, Baronissi, Salvador Allende Street 43, 84081 Salerno, Italy.
Chiara IntontiDepartment of Clinical, Internal Medicine, Anesthesiology and Cardiovascular Sciences, Sapienza University of Rome, 00161 Rome, Italy.
Ludovica MassaDepartment of Biomedical Sciences and Community Health, University of Milan, Via Mangiagalli 31, 20133 Milan, Italy.ORCID 0009-0003-2906-1210
Mauro MonelliDepartment of Cardiology, IRCCS Istituti Clinici Scientifici Maugeri, 20138 Milan, Italy.ORCID 0000-0002-0870-805X
Roberto Franco Enrico PedrettiSchool of Medicine and Surgery, University of Milano Bicocca, 20216 Milan, Italy.
Edvige Palazzo AdrianoDepartment of Cardiology, IRCCS Istituti Clinici Scientifici Maugeri, 20138 Milan, Italy.
Pasquale GuariniUO Cardiologia, Clinica Sanatrix, 80127 Naples, Italy.
Gaia CantielloDepartment of Medical-Surgical Sciences and Biotechnologies, Sapienza University of Rome, 04100 Latina, Italy.ORCID 0009-0006-9941-508X
Marco BernardiDepartment of Medical-Surgical Sciences and Biotechnologies, Sapienza University of Rome, 04100 Latina, Italy.ORCID 0000-0001-9269-8829
Federico RussoDepartment of Clinical and Molecular Medicine, Sapienza University of Rome, 00185 Rome, Italy.ORCID 0009-0008-8457-7822
Stefano CacciatoreDepartment of Geriatrics, Orthopedics, and Rheumatology, Università Cattolica del Sacro Cuore, L.go F. Vito 1, 00168 Rome, Italy.ORCID 0000-0001-7504-3775
Pierre SabouretHeart Institute and Action Group, Pitié-Salpétrière, Sorbonne University, 75013 Paris, France.ORCID 0000-0002-0243-3673
Michele GolinoVCU Pauley Heart Center, Virginia Commonwealth University, Richmond, VA 23298, USA.ORCID 0000-0003-0141-0127
Giuseppe Biondi ZoccaiDepartment of Medical-Surgical Sciences and Biotechnologies, Sapienza University of Rome, 04100 Latina, Italy.ORCID 0000-0001-6103-8510
Francesca Romana ZimatoreCardiovascular Diseases Residency Program, Azienda Ospedaliera Universitaria Integrata di Verona, 37126 Verona, Italy.ORCID 0009-0004-0975-3815
Laura Adelaide Dalla VecchiaDepartment of Cardiology, IRCCS Istituti Clinici Scientifici Maugeri, 20138 Milan, Italy.ORCID 0000-0002-6516-0959

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anthracyclines remain a cornerstone of cancer therapy but are associated with a significant risk of cardiotoxicity, which can lead to overt heart failure. The risk is modulated by cumulative dose, pre-existing cardiovascular disease, and patient-specific factors. As cancer survival improves, the long-term cardiovascular consequences of anthracycline exposure have become a growing concern, underscoring the need for effective preventive strategies. This narrative review examines lifestyle and pharmacological interventions aimed at mitigating anthracycline-induced cardiotoxicity. Evidence suggests that structured exercise programs and antioxidant-rich diets may enhance cardiovascular resilience, while beta-blockers, renin-angiotensin system inhibitors, and dexrazoxane remain central pharmacological options. Emerging therapies, including sodium-glucose co-transporter 2 inhibitors and sacubitril/valsartan, show promise but require further investigation. A comprehensive approach that integrates lifestyle modifications with pharmacological strategies within a multidisciplinary cardio-oncology framework may provide optimal protection, improving long-term cardiovascular outcomes in cancer patients receiving anthracyclines.

Indexed as

anthracycline-induced cardiotoxicityanthracyclinescardiac pre-habilitationcardiac rehabilitationcardio-oncologyexercisepharmacological strategiesprevention

Identifiers

PMID40558647
PMCPMC12193841

What OpenQuestion holds

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Registered trials

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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.