Cardiotoxicity associated with the use of trastuzumab in breast cancer patients

Patrick J. Perik*, Maarten Alexander de Korte, Dirk J. van Veldhuisen, Jourik A. Gietema, Dirk T. Sleijfer, Elisabeth G. E. de Vries

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

31 Citations (Scopus)

Abstract

The monoclonal antibody against HER2, trastuzumab (Herceptin (R)), has become an important player in the treatment of patients with HER2-positive breast cancer. Both in the metastatic and adjuvant setting, the addition of trastuzumab to other systemic treatments has led to a striking increase in tumor response and survival. The downside with the use of this agent, however, is its inherent cardiotoxicity, which is particularly common when anthracyclines are used concurrently. This review will focus on all aspects of the cardiac side-effects of trastuzumab, ranging from epidemiology and pathophysiology to cardiac monitoring, and treatment and prevention.

Original languageEnglish
Pages (from-to)1763-1771
Number of pages9
JournalExpert review of anticancer therapy
Volume7
Issue number12
DOIs
Publication statusPublished - Dec-2007

Keywords

  • breast cancer
  • cardiotoxicity
  • HER2
  • trastuzumab
  • CONVERTING-ENZYME-INHIBITOR
  • CONGESTIVE-HEART-FAILURE
  • HIGH-DOSE CHEMOTHERAPY
  • PHASE-II TRIAL
  • ADJUVANT CHEMOTHERAPY
  • DILATED CARDIOMYOPATHY
  • CARDIAC DYSFUNCTION
  • VENTRICULAR MYOCYTES
  • MONOCLONAL-ANTIBODY
  • CLINICAL-PRACTICE

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