Table 3 Types of cardiotoxicity
Type I Cardiotoxicity | Type II Cardiotoxicity |
---|---|
• Early Onset | • Late Onset |
• Myocardial damage | • Myocardial Dysfunction |
• Permanent / Irreversible | • Reversible in nature |
• Dose-dependent effects | • Cumulative Dose-independent effects |
• Greater association with Cardiac Dysfunction and Clinical HF | • Increased loss of contractility and less myocyte death |
• Typically, with Anthracyclines (Doxorubicin), Alkylating Agents Taxanes, Topoisomerase Inhibitors, Antimetabolites | • Typically, with Trastuzumab, Bevacizumab, and other Tyrosine Kinase Inhibitors, Immunomodulatory drugs, and Proteasome inhibitors but patients may develop type I cardiotoxicity in the long run |