Global Longitudinal Strain: Is It Time to Change the Preoperative Cardiac Assessment of Oncology Patients?

The introduction of new anticancer treatment modalities has improved survival rates, transforming cancer into a chronic disease in many instances. One of the most devastating complications of cancer treatment is cancer therapy-related cardiac dysfunction. Adequate preoperative assessment of any sign...

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Bibliographic Details
Published in:Oncology and therapy 2021-06, Vol.9 (1), p.13-19
Main Authors: Shehata, Islam Mohammad, Odell, Tiffany D., Elhassan, Amir, Urits, Ivan, Viswanath, Omar, Kaye, Alan D.
Format: Article
Language:English
Subjects:
Commentary
Internal Medicine
Medicine
Medicine & Public Health
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Summary:The introduction of new anticancer treatment modalities has improved survival rates, transforming cancer into a chronic disease in many instances. One of the most devastating complications of cancer treatment is cancer therapy-related cardiac dysfunction. Adequate preoperative assessment of any significant cancer therapy-related cardiac impairment is critical, and may be missed with conventional measures. The assessment of global longitudinal strain by speckle-tracking echocardiography is more sensitive for the early detection of cardiac contractility before a decline in ejection fraction can be discovered. Global longitudinal strain can also predict postoperative cardiac dysfunction, which makes it a good alternative for preoperative cardiac assessment in the oncology population when cancer therapies have been administered that can alter normal performance.
ISSN:2366-1070
2366-1089
DOI:10.1007/s40487-020-00134-0