Unmet Needs in Managing Myocardial Infarction in Patients With Malignancy.

Published online

Journal Article (Review)

Patients with cancer face a high short-term risk of arterial thromboembolism. One of the most fatal manifestations of arterial thromboembolism is myocardial infarction (MI), and patients with cancer face a 3-fold greater risk of MI than patients without cancer. The individual risk for arterial thrombotic events in patients with cancer is determined by the complex interaction of baseline cardiovascular risk factors, cancer type and stage, chemotherapeutic regimen, and other general contributing factors for thrombosis. Managing MI in patients with cancer is a clinical challenge, particularly due to cancer's unique pathophysiology, which makes it difficult to balance thrombotic and bleeding risks in this specific patient population. When patients with cancer present with MI, a limited proportion are treated with guideline-recommended therapy, such as antiplatelet therapy or invasive revascularization. Despite the limited evidence, existing reports consistently suggest similar clinical benefits of guideline-recommended therapy when administered to patients with cancer presenting with MI. In this review, we briefly summarize the available evidence, clinical challenges, and future perspectives on simultaneous management of MI and cancer, with a focus on invasive strategy.

Full Text

Duke Authors

Cited Authors

  • Inohara, T; Endo, A; Melloni, C

Published Date

  • 2019

Published In

Volume / Issue

  • 6 /

Start / End Page

  • 57 -

PubMed ID

  • 31157239

Pubmed Central ID

  • 31157239

International Standard Serial Number (ISSN)

  • 2297-055X

Digital Object Identifier (DOI)

  • 10.3389/fcvm.2019.00057

Language

  • eng

Conference Location

  • Switzerland