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Cancer treatment-related cardiotoxicity: A focus on sacubitril/valsartan
  • +3
  • feng hu,
  • Huajiong Yu,
  • Weiping Du,
  • Mengjia Chen,
  • Jia Su,
  • Xiaomin Chen
feng hu

Corresponding Author:[email protected]

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Huajiong Yu
Zhejiang Shuren University
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Weiping Du
Ningbo City First Hospital
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Mengjia Chen
Zhejiang University School of Medicine First Affiliated Hospital
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Xiaomin Chen
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Abstract

Cardiotoxicity is the most dramatic complications of cancer therapies, leading to halt in potentially life-saving anti-tumor treatment regimens and a poor survival prognosis in a non-negligible percentage of patients. Angiotensin converting enzyme inhibitors (ACEIs) and β-blockers are effective in the treatment of the cancer therapy–related cardiac dysfunction (CTRCD), while their roles in the prevention of cardiotoxicity are unclear. Sacubitril/valsartan was advantageous over ACEI in heart failure patients for further reduction of cardiovascular death or heart failure re-hospitalization. However, there is short of well-established testimony of its efficacy and safety in the prevention and treatment of CTRCD in the cardio-oncology setting. Although some small observational studies found a good performance of sacubitril/valsartan in patients with CTRCD, large-scale prospective clinical studies are required to confirm its excellent results. In this paper, we review the potential benefit of sacubitril/valsartan in human subjects with CTRCD.