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A dark side of the cardio-oncology: The bacterial endocarditis prophylaxis

2012; Elsevier BV; Volume: 157; Issue: 3 Linguagem: Inglês

10.1016/j.ijcard.2012.04.023

1874-1754

Salvatore Patanè,

Cardiac tumors and thrombi

The progress in the cancer knowledge and treatment has led to a new frontier: the cardio-oncology [ 1 Cardinale D. A new frontier: cardio-oncology. Cardiologia. Sep. 1996; 41: 887-891 PubMed Google Scholar , 2 Hong R.A. Iimura T. Sumida K.N. Eager R.M. Cardio-oncology/onco-cardiology. Clin Cardiol. Dec. 2010; 33: 733-737 Crossref PubMed Scopus (67) Google Scholar , 3 Albini A. Pennesi G. Donatelli F. Cammarota R. De Flora S. Noonan D.M. Cardiotoxicity of anticancer drugs: the need for cardio-oncology and cardio-oncological prevention. J Natl Cancer Inst. Jan. 6 2010; 102 ([Epub 2009 Dec 10, Review]): 14-25 Crossref PubMed Scopus (563) Google Scholar , 4 Yeh E.T. Onco-cardiology: the time has come. Tex Heart Inst J. 2011; 38: 246-247 PubMed Google Scholar , 5 Cardinale D. Colombo A. Lamantia G. et al. Cardio-oncology: a new medical issue. Ecancermedicalscience. 2008; 2 ([Epub 2008 Dec 15]): 126 PubMed Google Scholar , 6 Patanè S. Marte F. Sturiale M. Dattilo G. 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Feb. 9 2012; 154: 341-344 Abstract Full Text Full Text PDF PubMed Scopus (5) Google Scholar , 10 Monsuez J.J. Charniot J.C. Vignat N. Artigou J.Y. Cardiac side-effects of cancer chemotherapy. Int J Cardiol. Sep. 24 2010; 144: 3-15 Abstract Full Text Full Text PDF PubMed Scopus (313) Google Scholar ]. Cancer patients can benefit from an open dialogue between both cardiologists and oncologists [ [2] Hong R.A. Iimura T. Sumida K.N. Eager R.M. Cardio-oncology/onco-cardiology. Clin Cardiol. Dec. 2010; 33: 733-737 Crossref PubMed Scopus (67) Google Scholar ]. An emerging aspect of cardio-oncology regards the bacterial endocarditis prophylaxis. Bacterial endocarditis in cancer patients complicating cytotoxic chemotherapy and previous surgery is not uncommon. Neutropenia, thrombocytopenia, immunosuppression, and frequent bacteremia have been reported as significant endocarditis risk factors in these patients [ 11 Infective endocarditis in cancer patients: review of 75 cases. 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Streptococcus bovis isolated in haemoculture a signal of malignant lesion of the colon. Clin Lab. 2011; 57: 1007-1009 PubMed Google Scholar ]. Aortic valve involvement and prevalent enterococcus etiology have also been reported frequently [ [11] Infective endocarditis in cancer patients: review of 75 cases. Neuro Endocrinol Lett. Feb. 7 2012; 33 ([No authors listed]) ([Epub ahead of print]) Google Scholar ]. The role of antibiotic prophylaxis in these patients remains a dark side of the cardio-oncology prevention in the light of the recently American College of Cardiology/American Heart Association [ 16 Nishimura R.A. Carabello B.A. Faxon D.P. et al. ACC/AHA 2008 Guideline update on valvular heart disease: focused update on infective endocarditis: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. J Am Coll Cardiol. Aug. 19 2008; 52: 676-685 Abstract Full Text Full Text PDF PubMed Scopus (186) Google Scholar , 17 Nishimura R.A. Carabello B.A. Faxon D.P. et al. ACC/AHA 2008 guideline update on valvular heart disease: focused update on infective endocarditis: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. Catheter Cardiovasc Interv. Sep. 1 2008; 72: E1-E12 Crossref PubMed Scopus (11) Google Scholar , 18 Nishimura R.A. Carabello B.A. Faxon D.P. et al. ACC/AHA 2008 guideline update on valvular heart disease: focused update on infective endocarditis: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines: endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. Circulation. Aug. 19 2008; 118 ([Epub 2008 Jul 28]): 887-896 Crossref PubMed Scopus (227) Google Scholar ] and European Society of Cardiology [ [19] Habib G. Hoen B. Tornos P. Guidelines on the prevention, diagnosis, and treatment of infective endocarditis (new version 2009): the Task Force on the Prevention, Diagnosis, and Treatment of Infective Endocarditis of the European Society of Cardiology (ESC). Endorsed by the European Society of Clinical Microbiology and Infectious Diseases (ESCMID) and the International Society of Chemotherapy (ISC) for Infection and Cancer. Eur Heart J. Oct. 2009; 30 ([Epub 2009 Aug 27]): 2369-2413 Crossref PubMed Scopus (1616) Google Scholar ] published guidelines. Bacterial endocarditis prophylaxis should be taken into consideration for the optimal effective cancer patients' care.