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Statins for Cardiac and Vascular Protection During and After Cancer Therapy.


ABSTRACT:

Purpose of review

Although cancer treatments have increased overall survival rates, the cardiovascular consequences of cancer therapy place patients at an increased risk of adverse outcomes. This manuscript presents data accumulated to date regarding cardiovascular outcomes relating to the administration of 3-hydroxy-3-methylglutarylcoenzyme-A reductase inhibitor (or statin) therapy in individuals receiving potentially cardiotoxic cancer treatments.

Recent findings

Retrospective observational studies in humans and randomized controlled trials in animals suggest that statins may reduce cancer-specific and all-cause mortality. Further, statins may attenuate cancer therapy-induced declines in left ventricular ejection fraction (LVEF) and increases in blood pressure. Observational studies suggest a potential attenuation in LVEF decline in patients with cancer and primary or secondary indications to receive a statin for prevention of cardiovascular events. Large randomized clinical trials are warranted to understand the efficacy and potential impacts of statin class, dosage, and duration on cardiovascular outcomes in patients treated for cancer.

SUBMITTER: Heiston EM 

PROVIDER: S-EPMC9922479 | biostudies-literature | 2022 May

REPOSITORIES: biostudies-literature

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Publications

Statins for Cardiac and Vascular Protection During and After Cancer Therapy.

Heiston Emily M EM   Hundley W Gregory WG  

Current oncology reports 20220224 5


<h4>Purpose of review</h4>Although cancer treatments have increased overall survival rates, the cardiovascular consequences of cancer therapy place patients at an increased risk of adverse outcomes. This manuscript presents data accumulated to date regarding cardiovascular outcomes relating to the administration of 3-hydroxy-3-methylglutarylcoenzyme-A reductase inhibitor (or statin) therapy in individuals receiving potentially cardiotoxic cancer treatments.<h4>Recent findings</h4>Retrospective o  ...[more]

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