TY - BOOK AU - Barac, Ana AU - Gates, Emily TI - Trastuzumab-Induced Cardiomyopathy. [Review] SN - 0733-8651 PY - 2019/// KW - *Breast Neoplasms/dt [Drug Therapy] KW - *Cardiomyopathies/ci [Chemically Induced] KW - *Trastuzumab/ae [Adverse Effects] KW - Antineoplastic Agents, Immunological/ae [Adverse Effects] KW - Cardiomyopathies/ep [Epidemiology] KW - Cardiotoxicity KW - Female KW - Global Health KW - Humans KW - Incidence KW - MedStar Heart & Vascular Institute KW - Journal Article KW - Review N2 - Trastuzumab targets the human epidermal growth factor receptor 2 (HER2). Its overexpression occurs in 25% of breast cancers and is associated with aggressive tumor characteristics and poor prognosis in absence of targeted therapy. Trastuzumab dramatically improves HER2-positive breast cancer outcomes; however, its clinical use is associated with left ventricular dysfunction and heart failure. Patients receiving trastuzumab or other HER2-targeted therapies undergo routine cardiac function assessment. Holding and/or stopping trastuzumab treatment in the setting of left ventricular dysfunction is recommended. This article summarizes the role of trastuzumab in cancer treatment, the mechanisms of trastuzumab-induced cardiotoxicity, recent clinical investigations, and current controversies. Copyright (c) 2019 Elsevier Inc. All rights reserved UR - https://dx.doi.org/10.1016/j.ccl.2019.07.005 ER -