Article ; Online: Atrial Fibrillation Induced by Anticancer Drugs and Underling Mechanisms.
Journal of cardiovascular pharmacology
2022 Volume 80, Issue 4, Page(s) 540–546
Abstract: Abstract: Cancer therapy has made major progress in the past several decades, but treatments are often accompanied by significant side effects. Arrhythmias are a widespread complication of some antineoplastic drugs, with atrial fibrillation (AF) being ... ...
Abstract | Abstract: Cancer therapy has made major progress in the past several decades, but treatments are often accompanied by significant side effects. Arrhythmias are a widespread complication of some antineoplastic drugs, with atrial fibrillation (AF) being the most often encountered drug-associated arrhythmia. Preexisting AF risk factors are commonly present in cancer patients who develop drug-associated AF, and active cancer itself may cause or promote AF. Although anticancer drugs may induce AF in cancer patients without AF risk factors, it appears that most drug-associated AF develop when cancer drugs add or aggravate precancer-existing and/or cancer-related pro-AF factors/alterations, additively or synergistically producing AF. Abnormalities in intracellular calcium activity seem to be involved in the generation of anticancer drug-induced AF. In cancer survivors with cancer therapy-induced cardiomyopathy, AF often occurs, with most of the arrhythmias likely to develop secondary to the cardiomyopathy. AF may lead to modification or even cessation of cancer therapy. The management of AF in patients with cancer is currently conducted largely based on pragmatic assumptions. This review briefly discusses AF caused by anticancer drugs and the underlying mechanisms. |
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MeSH term(s) | Anti-Arrhythmia Agents/pharmacology ; Antineoplastic Agents/adverse effects ; Atrial Fibrillation/chemically induced ; Atrial Fibrillation/diagnosis ; Atrial Fibrillation/drug therapy ; Calcium ; Drug-Related Side Effects and Adverse Reactions ; Humans |
Chemical Substances | Anti-Arrhythmia Agents ; Antineoplastic Agents ; Calcium (SY7Q814VUP) |
Language | English |
Publishing date | 2022-10-01 |
Publishing country | United States |
Document type | Journal Article ; Review |
ZDB-ID | 391970-5 |
ISSN | 1533-4023 ; 0160-2446 |
ISSN (online) | 1533-4023 |
ISSN | 0160-2446 |
DOI | 10.1097/FJC.0000000000001182 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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