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Publication Name World Journal of Cardiology
Manuscript ID 120930
DOI 10.4330/wjc.120930
Country United States
Category Cardiac & Cardiovascular Systems
Manuscript Type Meta-Analysis
Article Title Potential role of angiotensin-converting enzyme inhibitors vs beta-blockers in preventing anticancer agents-induced cardiotoxicity: A systematic review and meta-analysis
Manuscript Source Unsolicited Manuscript
All Author List Rohab Sohail, Ridda Khattak, Haider Hussain Shah, Zaraq Khan, Azeem Khan, Shahryar Chaudhry, Simran Patel, Rohan Patel, Vyom Patel, Madihah Alam, Samar Mehdi and Manjeet Singh
Funding Agency and Grant Number
Corresponding Author Rohab Sohail, Department of Internal Medicine, Bayhealth Medical Center, 640 South State Street, Dover, DE 19904, United States. rohabsohail98@gmail.com
Key Words Cardiotoxicity; Angiotensin converting enzyme inhibitors; Beta blockers; Anthracycline-induced cardiotoxicity; Transtuzumab-induced cardiotoxicity
Core Tip This meta-analysis compared angiotensin-converting enzyme inhibitors (ACEI) and beta-blockers for the prevention of anti-cancer agents-induced cardiotoxicity. Across randomized controlled trials, both drug classes showed similar effectiveness in preserving left ventricular ejection fraction and preventing overall, early, and late cardiotoxicity. Overall adverse event rates were similar between groups; however, hypotension and dizziness occurred more frequently with ACEI therapy. These findings suggest that ACEI and beta-blockers provide comparable cardioprotective benefit. Choice of therapy should therefore be individualized based on patient characteristics, blood pressure profile, and tolerability. Larger, adequately powered trials with longer follow-up are needed to determine whether meaningful differences between these strategies emerge over time.
Citation Sohail R, Khattak R, Hussain Shah H, Khan Z, Khan A, Chaudhry S, Patel S, Patel R, Patel V, Alam M, Mehdi S, Singh M. Potential role of angiotensin-converting enzyme inhibitors vs beta-blockers in preventing anticancer agents-induced cardiotoxicity: A systematic review and meta-analysis. World J Cardiol 2026; In press
Received
2026-03-12 00:36
Peer-Review Started
2026-03-12 01:51
First Decision by Editorial Office Director
2026-03-27 10:18
Return for Revision
2026-03-27 10:18
Revised
2026-04-13 17:40
Publication Fee Transferred
Second Decision by Editor
2026-06-02 02:42
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-06-02 08:28
Articles in Press
2026-06-02 08:28
Edit the Manuscript by Language Editor
Typeset the Manuscript
ISSN 1949-8462 (online)
Open Access This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Copyright ©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com