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Title:Addressing cardiovascular toxicities of Bruton tyrosine kinase inhibitors in chronic lymphocytic leukaemia : practical recommendations for haematologists in central and eastern Europe
Authors:ID Aurer, Igor (Author)
ID Bulj, Nikola (Author)
ID Demirevska, Liliya (Author)
ID Dragnić, Siniša (Author)
ID Dreisinger, Mojca (Author)
ID Lipar, Luka (Author)
ID Rener, Karla (Author), et al.
Files:.pdf PDF - Presentation file, download (2,09 MB)
MD5: A00D1BF723BFD5C646D8198F0179E8D4
 
URL URL - Source URL, visit https://link.springer.com/article/10.1186/s40959-025-00394-7
 
Language:English
Typology:1.01 - Original Scientific Article
Organization:Logo UKC LJ - Ljubljana University Medical Centre
Abstract:Advances in understanding the biology of chronic lymphocytic leukaemia (CLL) translated into revolutionary treatments with improved survival outcomes. Consequently, the traditional chemoimmunotherapy courses shifted to targeted therapies, including inhibitors of the Bruton tyrosine kinase (BTKis). BTKis correlate with an increased risk over time of toxicities of the cardiovascular (CV) system, which require proper management. An expert meeting involving 14 haematology and cardiology opinion leaders from 5 Central Eastern European countries was held, aiming to find pragmatic approaches for haematologists to identify the CLL patients at CV risk before starting the BTKis therapy, and further recognize, manage and monitor de novo cardiotoxicities occurring under treatment. Geographical variations have been described, including availability of reimbursed BTKis, national registries, and presence of cardio-oncology units. The experts discussed controversies, unmet needs and potential solutions by exemplifying local challenges and best practices. Each patient requires a personalized strategy based on multiple factors, hence practical pathways to follow during the continuity of care in CLL patients requiring BTKis have been proposed. Rigorous evaluation of the CV risk, periodic assessments of cardiotoxicity during BTKis treatment and work in multidisciplinary teams are vital for managing CV complications without unnecessary interruptions of the CLL treatment.
Keywords:CLL, chronic lymphocytic leukemia, BTK inhibitors, cardiovascular toxicity, cardio-oncology
Publication status:Published
Publication version:Version of Record
Year of publishing:2025
Number of pages:str. 1-12
Numbering:Vol. 11, issue 1, [article no.] 102
PID:20.500.12556/DiRROS-24719 New window
UDC:616.1
ISSN on article:2057-3804
DOI:10.1186/s40959-025-00394-7 New window
COBISS.SI-ID:257382403 New window
Note:Nasl. z nasl. zaslona; Opis vira z dne 17. 11. 2025;
Publication date in DiRROS:15.12.2025
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Downloads:6
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Record is a part of a journal

Title:Cardio-oncology
Shortened title:Cardio-oncology
Publisher:BioMed Central
ISSN:2057-3804
COBISS.SI-ID:527074073 New window

Licences

License:CC BY-NC-ND 4.0, Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
Link:http://creativecommons.org/licenses/by-nc-nd/4.0/
Description:The most restrictive Creative Commons license. This only allows people to download and share the work for no commercial gain and for no other purposes.

Secondary language

Language:Slovenian
Keywords:BTK zaviralci, kronična limfocitna levkemija, KLL, kardioonkologija


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