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. 2022 May 31;17:e15. doi: 10.15420/ecr.2021.45

Table 1: Cancer Treatments Frequently Associated with Acute Coronary Syndromes and Their Pathophysiological Mechanisms.

Anti-cancer Treatment Agent Proposed Mechanism
Fluoropyrimidines (e.g. 5-fluorouracil, capecitabine, gemcitabine) Coronary vasospasm, thrombosis, endothelial injury
Vascular endothelial growth factor inhibitors (e.g. bevacizumab) Endothelial dysfunction, coronary vasospasm, vascular remodelling, inflammation, platelet activation, increased plaque vulnerability
Alkylating agents (e.g. cisplatin) Pro-coagulant state, coronary thrombosis (endothelial damage, thromboxane production, platelet activation and aggregation)
Immunomodulatory agents (e.g. lenalidomide, pomalidomide) Arterial thrombosis
Hormone therapy (e.g. abiraterone) Accelerated atherosclerosis
Anti-microtubule agents (e.g. paclitaxel, docetaxel) Coronary vasospasm
Vinca alkaloids (e.g. vincristine, vinblastine) Coronary vasospasm
Tyrosine kinase inhibitors (e.g. niolotinib and ponatinib) Endothelial dysfunction, prothrombotic state, increased plaque vulnerability
Radiotherapy (e.g. mantle radiotherapy) Endothelial injury, plaque rupture, thrombosis, fibrosis of the vessel wall, accelerated atherosclerosis