Evidence map›Paper›PMID 42131090›Full record

ReviewFrontiers in cardiovascular medicine2026

Onco-hypertension: hypertension induced by VEGF pathway inhibition.

Nicolas L Palaskas, Jung Hyun Kim, Silvia Fernanda López Moreno, Bernardo Casso-Chapa, Noah I Beinart, Nnenne Nnanna, Keila Carolina Ostos Mendoza, Anita Deswal, Syed Wamique Yusuf, Efstratios Koutroumpakis and 2 more

Abstract readReview
In one paragraph

Review in Frontiers in cardiovascular medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

12 authors.

Nicolas L PalaskasDepartment of Cardiology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Jung Hyun KimDepartment of Cardiology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Silvia Fernanda López MorenoDepartment of Cardiology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Bernardo Casso-ChapaDepartment of Cardiology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Noah I BeinartDepartment of Cardiology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Nnenne NnannaDepartment of Cardiology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Keila Carolina Ostos MendozaDepartment of Cardiology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Anita DeswalDepartment of Cardiology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Syed Wamique YusufDepartment of Cardiology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Efstratios KoutroumpakisDepartment of Cardiology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Jun-Ichi AbeDepartment of Cardiology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Michael S EwerDepartment of Cardiology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cancer therapies are increasingly linked to a wide spectrum of cardiovascular toxicities, presenting significant challenges in the long-term care of oncology patients. Among these, therapy-induced hypertension stands out as one of the most consistent and clinically relevant adverse effects, especially with agents targeting the VEGF pathway. Understanding the mechanisms behind this form of hypertension is critical, as it not only represents a modifiable cardiovascular risk factor but may also serve as a biomarker of therapeutic efficacy in certain cancer treatments. Clinical evidence underscores the importance of early detection and aggressive blood pressure control to improve both cardiovascular and oncologic outcomes. The most well-characterized and clinically significant subtype of therapy-related hypertension is that induced by VEGF pathway inhibitors, owing to its high incidence, rapid onset, and well-defined mechanistic basis. In this review, we specifically examine VEGFi-associated hypertension as a prototypical model of onco-hypertension. Evidence-based strategies for managing therapy-induced hypertension emphasize early detection and individualized treatment plans. Renin-angiotensin system inhibitors (RAAS inhibitors) are frequently recommended as first-line agents due to their favorable cardiovascular profile and potential synergistic effects with some cancer therapies. Calcium-channel blockers (CCBs) also demonstrate strong efficacy and are often used in combination regimens to achieve optimal blood pressure control. Successful management requires a multidisciplinary approach, integrating expertise from oncology, cardiology, and primary care. Proactive surveillance, patient education, and risk stratification are essential components of care. As the field of cardio-oncology continues to evolve, structured blood pressure management remains a cornerstone of safe and effective cancer care, ensuring that patients receive optimal therapeutic benefit while minimizing cardiovascular risk.

Indexed as

blood pressurecancercardio-oncologyhypertensionvascular endothelial growth factor

Identifiers

PMID42131090
PMCPMC13160817

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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.