Advanced Echocardiographic Techniques in Cardio-Oncology: the Role for Early Detection of Cardiotoxicity

Curr Cardiol Rep. 2022 Sep;24(9):1109-1116. doi: 10.1007/s11886-022-01728-y. Epub 2022 Jul 26.

Abstract

Purpose of review: Implementation of advanced echocardiographic techniques in cardio-oncology is a growing need as they are the cornerstone of early detection of cancer therapy-related cardiovascular toxicity (CTR-CVT).

Recent findings: Three-dimensional echocardiography and myocardial deformation techniques have shown more accuracy and reproducibility than classic 2D measurements in detecting cardiovascular adverse effects in patients undergoing anticancer therapies. Application of advanced echo techniques to daily monitoring of patients with cancer helps to identify those at risk of developing CTR-CVT during and after cancer treatment. Furthermore, advanced echo parameters improve early initiation of cardioprotective treatments in order to minimize cardiovascular events and cancer treatment interruption.

Keywords: 3D-LVEF; Advanced echocardiographic techniques; CTRCD; Cardio-oncology; Cardiotoxicity; GLS; Strain.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents* / adverse effects
  • Cardiotoxicity / diagnostic imaging
  • Cardiotoxicity / etiology
  • Early Detection of Cancer
  • Echocardiography
  • Humans
  • Neoplasms* / chemically induced
  • Neoplasms* / complications
  • Neoplasms* / drug therapy
  • Reproducibility of Results

Substances

  • Antineoplastic Agents