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HER2 Therapy Cardiotoxicity Index (Trastuzumab): Explanation and Clinical Context Trastuzumab, a monoclonal antibody targeting the HER2 receptor, is widely used in the treatment of HER2-positive breast cancer. However, its use is associated with an increased risk of cardiotoxicity, particularly in patients with pre-existing cardiovascular conditions, older age, prior anthracycline therapy, and elevated body mass index (BMI). The HER2 Therapy Cardiotoxicity Index is a clinical tool designed to assess the risk of cardiac dysfunction in patients undergoing trastuzumab therapy.
It incorporates factors such as age, history of anthracycline use, BMI, and pre-existing cardiovascular disease to stratify patients into low, moderate, or high-risk categories.
- Source 1
Sharma A, et al. "Incidence and risk factors of trastuzumab-induced cardiac dysfunction." Cardio-Oncology Journal. 2025; 10(1): 1-8. doi:10.1186/s40959-025-00319-4.
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