• Medientyp: E-Artikel
  • Titel: Sex-Related Differences in Dilated Cardiomyopathy with a Focus on Cardiac Dysfunction in Oncology
  • Beteiligte: D’Amario, Domenico; Camilli, Massimiliano; Migliaro, Stefano; Canonico, Francesco; Galli, Mattia; Arcudi, Alessandra; Montone, Rocco Antonio; Borovac, Josip Andjelo; Crea, Filippo; Savarese, Gianluigi
  • Erschienen: Springer Science and Business Media LLC, 2020
  • Erschienen in: Current Cardiology Reports
  • Sprache: Englisch
  • DOI: 10.1007/s11886-020-01377-z
  • ISSN: 1523-3782; 1534-3170
  • Schlagwörter: Cardiology and Cardiovascular Medicine
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  • Beschreibung: <jats:title>Abstract</jats:title><jats:sec> <jats:title>Purpose of Review</jats:title> <jats:p>The aim of this report is to describe the main aspects of sex-related differences in non-ischemic dilated cardiomyopathies (DCM), focusing on chemotherapy-induced heart failure (HF) and investigating the possible therapeutic implications and clinical management applications in the era of personalized medicine.</jats:p> </jats:sec><jats:sec> <jats:title>Recent Findings</jats:title> <jats:p>In cardio-oncology, molecular and multimodality imaging studies confirm that sex differences do exist, affecting the therapeutic cardioprotective strategies and, therefore, the long-term outcomes. Interestingly, compelling evidences suggest that sex-specific characteristics in drug toxicity might predict differences in the therapeutic response, most likely due to the tangled interplay between cancer and HF, which probably share common underlying mechanisms.</jats:p> </jats:sec><jats:sec> <jats:title>Summary</jats:title> <jats:p>Cardiovascular diseases show many sex-related differences in prevalence, etiology, phenotype expression, and outcomes. Complex molecular mechanisms underlie this diverse pathological manifestations, from sex-determined differential gene expression to sex hormone interaction with their receptors in the heart. Non-ischemic DCM is an umbrella definition that incorporates several etiologies, including chemotherapy-induced cardiomyopathies. The role of sex as a risk factor for cardiotoxicity is poorly explored. However, understanding the various features of disease manifestation and outcomes is of paramount importance for a prompt and tailored evaluation.</jats:p> </jats:sec>