Evidence map›Paper›PMID 40723260›Full record

ArticleCancers2025

The Emerging Role of Left Atrial Strain in Cardiovascular Risk Stratification for Multiple Myeloma Patients Undergoing Carfilzomib Therapy.

Anna Colomba, Lorenzo Airale, Alice Lasagno, Giulia Mingrone, Anna Astarita, Fabrizio Vallelonga, Dario Leone, Martina Sanapo, Arianna Paladino, Francesca Novello and 4 more

Abstract read
In one paragraph

Article in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Anna ColombaCandiolo Cancer Institute, FPO-IRCCS, 10060 Candiolo, TO, Italy.ORCID 0009-0002-2675-8015
Lorenzo AiraleHypertension Unit, Department of Medical Sciences, Division of Internal Medicine, AOU Città della Salute e della Scienza University Hospital, 10126 Turin, Italy.ORCID 0000-0001-5407-5188
Alice LasagnoCandiolo Cancer Institute, FPO-IRCCS, 10060 Candiolo, TO, Italy.
Giulia MingroneCandiolo Cancer Institute, FPO-IRCCS, 10060 Candiolo, TO, Italy.
Anna AstaritaHypertension Unit, Department of Medical Sciences, Division of Internal Medicine, AOU Città della Salute e della Scienza University Hospital, 10126 Turin, Italy.
Fabrizio VallelongaCandiolo Cancer Institute, FPO-IRCCS, 10060 Candiolo, TO, Italy.
Dario LeoneCandiolo Cancer Institute, FPO-IRCCS, 10060 Candiolo, TO, Italy.
Martina SanapoCandiolo Cancer Institute, FPO-IRCCS, 10060 Candiolo, TO, Italy.
Arianna PaladinoCandiolo Cancer Institute, FPO-IRCCS, 10060 Candiolo, TO, Italy.
Francesca NovelloCandiolo Cancer Institute, FPO-IRCCS, 10060 Candiolo, TO, Italy.
Sara BringhenSSD Clinical Trials in Oncoematologia e Mieloma Multiplo, Division of Oncology, AOU Città della Salute e della Scienza University Hospital, 10126 Turin, Italy.ORCID 0000-0003-4539-6363
Francesca GaySSD Clinical Trials in Oncoematologia e Mieloma Multiplo, Division of Oncology, AOU Città della Salute e della Scienza University Hospital, 10126 Turin, Italy.ORCID 0000-0002-8619-412X
Franco VeglioHypertension Unit, Department of Medical Sciences, Division of Internal Medicine, AOU Città della Salute e della Scienza University Hospital, 10126 Turin, Italy.ORCID 0000-0002-6654-6247
Alberto MilanCandiolo Cancer Institute, FPO-IRCCS, 10060 Candiolo, TO, Italy.ORCID 0000-0002-8863-8572

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCarfilzomib (CFZ) is a proteasome inhibitor with known cardiotoxic effects used in multiple myeloma (MM) treatment. Cardio-oncology guidelines recommend cardiovascular risk assessment via echocardiography. Left atrial strain (LAS) is not yet included as a marker of cardiotoxicity, but it is emerging as a potential indicator of cardiac dysfunction.

objectiveThis study evaluates LAS as a predictor of CFZ-related hypertensive cardiovascular adverse events (CVAEs) in MM patients, with or without prior hypertension.

methodsA total of 125 MM patients treated with CFZ at the Hypertension Center, "Città della Salute e della Scienza" in Turin, were enrolled. Baseline assessments included transthoracic echocardiography for LAS analysis via Philips QLAB software.

resultsDuring CFZ therapy, 52% of patients experienced hypertensive events. LAS conduit was significantly impaired in those who experienced CVAEs (-16.20 [-20.75; -12.65] vs. -20.80 [-26.30; -15.40],

conclusionThese findings indicate that alterations in LAS conduit are linked to an increased risk of hypertensive adverse events during CFZ treatment. Incorporating LAS measurement into cardiovascular risk assessments may improve personalized risk stratification for MM patients, especially those without pre-existing hypertension.

Indexed as

arterial hypertensioncardio-oncologycardiovascular riskleft atrial strainmultiple myeloma

Identifiers

PMID40723260
PMCPMC12294073

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.