Open Access Review Article

Defining Fingerprint Pattern of Cardiotoxicity and Targeting Specific Underlying Mechanisms of Cardiotoxicity Could be the Way for Successful Cardioprotective Measures in Paediatric Cancer Patients Treated with Anthracyclines

Amani E Khalifa*

Faculty of Pharmacy, Ain Shams University, Egypt

Corresponding Author

Received Date: September 07, 2018;  Published Date: November, 01, 2018

Abstract

Anthracycline Chemotherapy are administered to more than 50% of children with cancer and up to 60% of those treated with an anthracycline will develop echocardiographic abnormalities [1]. Compare to their siblings, childhood cancer survivors (CCSs) have a 15-fold increased risk of developing congestive heart failure (CHF) and mortality rate in those with CHF approaches 50% [2]. Once anthracycline-induced cardiomyopathy develops, it is commonly progressive, with no definitive treatment other than implantation of a left ventricular assist device and/or heart transplantation [3,4]. Cardiac disease is the third leading cause of premature death in CCSs after cancer recurrence and second malignancies [5]. Early medical intervention can improve parameters of cardiotoxicity; the most feared complication of anthracycline chemotherapy [6].

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