Clinical Physiology of Circulation

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Atrial fibrillation in cancer patients

Authors: Akildzhonov F.R., Buziashvili Yu.I., Asymbekova E.U., Tugeeva E.F.

Company:
Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, Russian Federation

E-mail: Сведения доступны для зарегистрированных пользователей.

DOI: https://doi.org/I: 10.24022/1814-6910-2022-19-1-16-24

UDC: 616.12-008.313.2:616-006

Link: Clinical Physiology of Blood Circulaiton. 2022; 1 (19): 16-24

Quote as: Akildzhonov F.R., Buziashvili Yu.I., Asymbekova E.U., Tugeeva E.F. Atrial fibrillation in cancer patients. Clinical Physiology of Circulation. 2022; 19 (1): 16–24 (in Russ.). DOI: 10.24022/1814-6910-2022-19-1-16-24

Received / Accepted:  21.10.2021 / 23.11.2021

Full text:  

Abstract

Atrial fibrillation (AF) is the most common persistent arrhythmia and its occurrence is associated with a significant increase in hospitalizations and mortality from cardiovascular complications. Due to the lack of evidence in the prevention of ischemic stroke in patients with cancer and AF, it is usually performed in the same way as in patients who do not suffer from oncopathology, and randomized trials have not been conducted. However, this is a special category of patients, and it is important to pay attention to the stage of cancer, prognosis, and possible interaction with background chemotherapy. Patients with malignant neoplasms and AF require a multidisciplinary approach together with cardiologists and oncologists, careful planning of anticoagulant therapy and initiation of antiarrhythmic therapy. Further research will allow us to develop new tools for improving risk stratification in patients with AF and cancer, as well as determine the advantages in choosing optimal anticoagulant treatment strategies for both the prevention of thromboembolic complications and for stratifying the risk of major bleeding.

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****
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  15. Herrmann J. Adverse cardiac effects of cancer therapies: cardiotoxicity and arrhythmia. Nat. Rev. Cardiol. 2020; 17 (8): 474–502. DOI: 10.1038/s41569-020- 0348-1
  16. Ren M., Yao Y., Yue X., Ning Y., Yang Y. Atrial cardiomyopathy and atrial fibrillation in cancer. Cardiol. Res. Pract. 2021; 2021: 6685951. DOI: 10.1155/2021/6685953
  17. Aboumsallem J.P., Moslehi J., de Boer R.A. Reverse cardio-oncology: cancer development in patients with cardiovascular disease. J. Am. Heart Assoc. 2020; 9 (2): e013754. DOI: 10.1161/JAHA.119.013754
  18. Zamorano J.L. Specific risk of atrial fibrillation and stroke in oncology patients. Eur. Heart J. 2016; 37 (36): 2747–8. DOI: 10.1093/eurheartj/ehw385
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  20. Kaplan A., Joca H., Boyman L., Greiser M. Calcium signaling silencing in atrial fibrillation: implications for atrial sodium homeostasis. Int. J. Mol. Sci. 2021; 22 (19): 10513. DOI: 10.3390/ijms221910513
  21. Yang X., Li Y. Oxidative stress-mediated atherosclerosis: mechanisms and therapies. Front. Physiol. 2017; 8: 600. DOI: 10.3389/fphys.2017.00600
  22. Samman Tahhan A., Sandesara P.B., Hayek S.S. Association between oxidative stress and atrial fibrillation. Heart Rhythm. 2017; 14 (12): 1849–55. DOI: 10.1016/j.hrthm.2017.07.028
  23. Yang X., Li X., Yuan M. Anticancer therapy-induced atrial fibrillation: electrophysiology and related mechanisms. Front Pharmacol. 2018; 9: 1058. DOI: 10.3389/fphar.2018.01058
  24. Meessen J., Cardinale D., Ciceri F. Circulating biomarkers and cardiac function over 3 years after chemotherapy with anthracyclines: the ICOS-ONE trial. ESC Heart Fail. 2020; 7 (4): 1452–66. DOI: 10.1002/ehf2.12695
  25. Liu Y., Tan D., Shi L. Blueberry anthocyanins-enriched extracts attenuate cyclophosphamide-induced cardiac injury. PLOS One. 2015; 10 (7): e0127813. DOI: 10.1371/journal. pone.0127813
  26. Li N., Brundel B. Inflammasomes and proteostasis novel molecular mechanisms associated with atrial fibrillation. Circ. Res. 2020; 127 (1): 73–90. DOI: 10.1161/CIRCRESAHA.119.316364
  27. Yuan M., Zhang Z., Tse G., Feng X., Korantzopoulos P., Letsas K.P. et al. Association of cancer and the risk of developing atrial fibrillation: a systematic review and meta-analysis. Cardiol. Res. Pract. 2019; 2019: 8985273. DOI: 10.1155/2019/8985273
  28. January C.T., Wann L.S., Calkins H. 2019 AHA/ACC/HRS Focused Update of the 2014 AHA/ACC/HRS Guideline for the management of patients with atrial fibrillation: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society in Collaboration with the Society of Thoracic Surgeons. Circulation. 2019; 140 (2): e125–e151. DOI: 10.1161/CIR.0000000000000665
  29. Citro R., Prota C., Resciniti E. Thrombotic risk in cancer patients: diagnosis and management of venous thromboembolism. J. Cardiovasc. Echogr. 2020; 30 (Suppl. 1): S38–S44. DOI: 10.4103/jcecho. jcecho_63_19
  30. Kim K., Lee Y.J., Kim T.H. Effect of non-vitamin K antagonist oral anticoagulants in atrial fibrillation patients with newly diagnosed cancer. Korean Circ. J. 2018; 48 (5): 406–17. DOI: 10.4070/kcj.2017.0328
  31. Mosarla R.C., Vaduganathan M., Qamar A., Moslehi J., Piazza G., Giugliano R.P. Anticoagulation strategies in patients with cancer: JACC review topic of the week. J. Am. Coll. Cardiol. 2019; 73 (11): 1336–49. DOI: 10.1016/j.jacc.2019.01.017
  32. Khan Y., Zaidi S.O., Razak B.S., Zaki M., Malik B.H. Use of new oral anticoagulants/direct oral anticoagulants in malignant patients. Cureus. 2020; 12 (2): e7007. DOI: 10.7759/cureus.7007
  33. Ma S., Mao Z., Wu Y. The anti-cancer properties of heparin and its derivatives: a review and prospect. Cell. Adh. Migr. 2020; 14 (1): 118–28. DOI: 10.1080/19336918.2020.1767489
  34. Horlocker T., Vandermeuelen E., Kopp S., Gogarten W., Leffert L., Benzon H. Regional anesthesia in the patient receiving antithrombotic or thrombolytic therapy: American Society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines (Fourth Edition). Reg. Anesth. Pain. Med. 2018; 43 (3): 263–309. DOI: 10.1097/AAP.0000000000000763
  35. Chandrasekhar S., Fradley M.G. QT Interval prolongation associated with cytotoxic and targeted cancer therapeutics. Curr. Treat. Options. Oncol. 2019; 20 (7): 55. DOI: 10.1007/s11864-019-0657-y
  36. Bickford C., Agarwal R., Urbauer D., Durand J., Lenihan D. Efficacy and safety of ibutilide for chemical cardioversion of atrial fibrillation and atrial flutter in cancer patients. Am. J. Med. Sci. 2014; 347 (4): 277–81. DOI: 10.1097/MAJ.0b013e31828a7656
  37. Matta M., Gaita F., Anselmino M. Catheter ablation of atrial fibrillation in chronic heart failure: a contemporary review. J. Innov. Card. Rhythm. Manag. 2017; 8 (3): 2648–56. DOI: 10.19102/icrm.2017.080304
  38. Amar D., Zhang H., Tan K.S., Piening D., Rusch V.W., Jones D.R. A brain natriuretic peptide-based prediction model for atrial fibrillation after thoracic surgery: development and internal validation. J. Thorac. Cardiovasc. Surg. 2019; 157 (6): 2493–9.e1. DOI: 10.1016/j.jtcvs. 2019.01.075
  39. Fabiani I., Colombo A., Bacchiani G., Cipolla C., Cardinale D. Incidence, management, prevention and outcome of post-operative atrial fibrillation in thoracic surgical oncology. J. Clin. Med. 2019; 9 (1): 37. DOI: 10.3390/jcm9010037
  40. Semeraro G., Meroni C., Cipolla C., Cardinale D. Atrial fibrillation after lung cancer surgery: prediction, prevention and anticoagulation management. Cancers (Basel). 2021; 13 (16): 4012. DOI: 10.3390/cancers 13164012
  41. Tong C., Zhang Q., Liu Y., Xu M., Wu J., Cao H. Risk factors and outcomes of intraoperative atrial fibrillation in patients undergoing thoracoscopic anatomic lung surgery. Ann. Transl. Med. 2021; 9 (7): 543. DOI: 10.21037/atm-20-5035
  42. Phillips J., Porter E., Beaulieu-Jones B. Postoperative atrial fibrillation prophylaxis using a novel amiodarone order set. J. Thorac. Dis. 2020; 12 (6): 3110–24. DOI: 10.21037/jtd-20-180
  43. Balik M., Sander M., Trimmel H., Heinz G. Landiolol for managing post-operative atrial fibrillation. Eur. Heart J. Suppl. 2018; 20 (Suppl. A): A10–A14. DOI: 10.1093/eurheartj/sux036
  44. Nojiri T., Yamamoto H., Hamasaki T. A multicenter randomized controlled trial of surgery alone or surgery with atrial natriuretic peptide in lung cancer surgery: study protocol for a randomized controlled trial. Trials. 2017; 18 (1): 183. DOI: 10.1186/s13063-017-1928-1
  45. Nojiri T., Inoue M., Maeda H. Low-dose human atrial natriuretic peptide for the prevention of postoperative cardiopulmonary complications in chronic obstructive pulmonary disease patients undergoing lung cancer surgery. Eur. J. Cardiothorac. Surg. 2013; 44 (1): 98–103. DOI: 10.1093/ejcts/ezs646
  46. Vesely D.L. Heart peptide hormones: adjunct and primary treatments of cancer. Anticancer. Res. 2016; 36 (11): 5693–700. DOI: 10.21873/anticanres.11152
  47. Serafino A., Moroni N., Psaila R. Anti-proliferative effect of atrial natriuretic peptide on colorectal cancer cells: evidence for an Akt-mediated cross-talk between NHE-1 activity and Wnt/b-catenin signaling. Biochim. Biophys. Acta. 2012; 1822 (6): 1004–18. DOI: 10.1016/j.bbadis.2012.02.016
  48. Nadir Y., Brenner B. Cancer and thrombosis – new insights. Rambam. Maimonides Med. J. 2018; 9 (4): 1–7. DOI: 10.5041/RMMJ.10349

About Authors

  • Firdavsdzhon R. Akildzhonov, Postgraduate; ORCID
  • Yuriy I. Buziashvili, Dr. Med. Sci., Professor, Academician of the Russian Academy of Sciences, Head of Clinical and Diagnostic Department; ORCID
  • El’mira U. Asymbekova, Dr. Med. Sci., Leading Researcher; ORCID
  • El’vina F. Tugeeva, Dr. Med. Sci., Senior Researcher; ORCID

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