Ischaemic heart disease in patients with neoplasm

Marek Radomski; Grzegorz Grześk; Jacek Kubica

Vol 4, No 3 (2005): Polish Palliative Medicine

Artykuły poglądowe

Published online: 2005-09-09

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Ischaemic heart disease in patients with neoplasm

Marek Radomski, Grzegorz Grześk, Jacek Kubica

Advances in Palliative Medicine 2005;4(3):119-126.

Vol 4, No 3 (2005): Polish Palliative Medicine

Artykuły poglądowe

Published online: 2005-09-09

Abstract

High incidence of coronary artery and neoplastic diseases in European countries results in coexistence of both in many patients. Interactions between malignancy and ischaemic heart disease may enhance the risk of oncologic and cardiologic treatment. Potential adverse effects of therapeutic mediastinal irradiation and chemotherapy include initiation and acceleration of atherosclerosis and cardiac ischaemia symptoms occurring. Chemotherapy can cause additional coronary vasospasm. Aggressive oncologic treatment may be limited by coronary artery disease, and revascularization can lead to improved results. In our article we discuss most common problems in patients with coronary artery disease and neoplasm.