Erschienen in:
16.08.2023 | Pericardial Disease (AL Klein and CL Jellis, Section Editors)
Radiation-Induced Pericardial Disease: Mechanisms, Diagnosis, and Treatment
verfasst von:
Berlinde A. von Kemp, Bernard Cosyns
Erschienen in:
Current Cardiology Reports
|
Ausgabe 10/2023
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Abstract
Purpose of Review
We aim to give a concise overview of the different clinical manifestations of both acute and long-term radiotherapy-related pericardial diseases, the underlying pathophysiology as well as the diagnosis and treatment options.
Recent Findings
Radiotherapy-related pericardial disease is common, but despite radiotherapy being a cornerstone of many cancer treatments, this disease entity is relatively underrepresented in clinical trials, resulting in a paucity of research data on pathophysiology and management.
Summary
Since the development of innovative cancer treatments, survival has significantly improved. Therefore, the importance of long-term treatment-related side effects increases, most notably cancer treatment-related cardiovascular toxicity. In patients undergoing radiotherapy as a part of their cancer treatment, radiotherapy-related pericardial disease can manifest early (during or shortly after radiotherapy administration) or very late (several years to decades after treatment). This exceptionally long latency period confronts physicians with treatment-related side effects of radiotherapy regimens that may have been abandoned already.