Erschienen in:
11.10.2023 | Women and Cardiovascular Health (N Goldberg and S Lewis, Section Editors)
Tailored to a Woman’s Heart: Gender Cardio-Oncology Across the Lifespan
verfasst von:
Ming Hui Chen, Sonia F. Epstein
Erschienen in:
Current Cardiology Reports
|
Ausgabe 11/2023
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Abstract
Purpose of Review
Females outnumber males among long-term cancer survivors, primarily as a result of the prevalence of breast cancer. Late cardiovascular effects of cancer develop over several decades, which for many women, may overlap with reproductive and lifecycle events. Thus, women require longitudinal cardio-oncology care that anticipates and responds to their evolving cardiovascular risk.
Recent Findings
Women may experience greater cardiotoxicity from cancer treatments compared to men and a range of treatment-associated hormonal changes that increase cardiometabolic risk. Biological changes at critical life stages, including menarche, pregnancy, and menopause, put female cancer patients and survivors at a unique risk of cardiovascular disease. Women also face distinct psychosocial and physical barriers to accessing cardiovascular care.
Summary
We describe the need for a lifespan-based approach to cardio-oncology for women. Cardio-oncology care tailored to women should rigorously consider cancer treatment/outcomes and concurrent reproductive/hormonal changes, which collectively shape quality of life and cardiovascular outcomes.