By Vlad Zaha, M.D., Ph.D.
Assistant Professor of Internal
Medicine
The
intersection of cancer and cardiovascular disease is increasingly recognized in
clinical practice. While clinical guidelines are yet emerging, a wide range of
cardiovascular implications of cancer and cancer therapies pose challenges in
equal measure to hematology-oncology and cardiology practitioners. Therefore,
patients benefit from an emerging specialized dual cardiologic and
hemato-oncologic perspective. A rich collection of established paradigms and
novel developments in this bridging clinical and scientific area was presented
at this year’s AHA Scientific Sessions.
State-of-the-art
discussions included cancer therapies and their cardiovascular risks, vascular
biology and cancer, and novel mechanisms of cardiovascular toxicity in cancer
and cancer therapeutics. Several original basic, translational, and
epidemiologic research studies have been centered in this area.
The
2018 AHA Scientific Sessions revealed the current breadth and depth of
understanding of cardio-oncologic issues. In summary, the main topics included:
- The association of atherosclerotic cardiovascular disease risk
with cancer, cardiovascular disease, and mortality
- The intersection of cardiovascular disease and breast cancer
- Remodeling of the cardiac myocyte proteome and metabolome under
the effect of the oncometabolite alpha-ketoglutarate
- Management of chemotherapeutic-related hypertension
- Myocardial infarction and vasospasm in patients with cancer
- Venous thrombosis and cancer
- Fibrinolytic therapy in patients with pulmonary embolism and cancer
- Pulmonary hypertension induced by anti-cancer therapy
- Clonal hematopoiesis and the risk of cardiovascular disease
- Immune checkpoint-inhibitor cardiomyopathy
- The impact of cancer on contemporary heart failure management
This
comprehensive coverage offered participants firsthand access to interact with
several experts in the different cardio-oncology areas and a perspective on the
leading-edge research in this bridging field.