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Modern antiandrogens: abiraterone acetate (inhibitor of CYP17 cytochrome) and enzalutamide (irreversible inhibitor of androgen receptor) are the drugs that are increasingly often administered in treatment of castration-resistant prostate cancer. Despite their clinical efficacy, especially in terms of prolonged survival and improved quality of life of patients, they pose of problem for a practicing oncologist such as possible cardiovascular complications (particularly arterial hypertension), which may lead to the cessation of this form of therapy. This article provides a brief overview of the mechanisms responsible for the above complications, including practical recommendations in the event such complications arise. A simple scheme of action for control of cardiovascular risk factors has been presented, which can improve the prognosis in this population of patients.
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61-67
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autor
- 1. Department of Internal Medicine, Gastroenterology and Oncological Cardiology, Warmian- -Masurian Cancer Center of the Ministry of the Interior And Administration’s Hospital, Olsztyn, Poland. 2. Pulmonology Clinic, Collegium Medicum, Univesity of Warmia and Mazury, Olsztyn, Poland, graby@wp.pl
autor
- Oncology and Immunooncology Clinic, Warmian-Masurian Cancer Center of the Ministry of the Interior and Administration’s Hospital, Olsztyn, Poland
Bibliografia
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