Kajian Literatur : Tinjauan Terapi Kardioprotektan untuk Penanganan Kardiotoksisitas Kemoterapi Antrasiklin

Penulis

  • Cinantya Meyta Sari 1)Program Studi Magister Farmasi Klinik, Fakultas Farmasi Universitas Airlangga Surabaya 2)Instalasi Farmasi, RSUD dr. Saiful Anwar, Malang, Indonesia
  • Budi Suprapti Departemen Farmasi Praktis, Fakultas Farmasi Universitas Airlangga Surabaya, Indonesia http://orcid.org/0000-0001-9060-8041
  • Nurmainah Nurmainah Departemen Farmakologi dan Farmasi Klinik, Program Studi Farmasi, Fakultas Kedokteran, Universitas Tanjungpura, Indonesia

DOI:

https://doi.org/10.20527/jps.v12i1.19910

Kata Kunci:

Antrasiklin, Kardiotoksisitas, Terapi, Kardioprotektan, Farmakologi

Abstrak

Saat ini telah banyak diteliti mengenai beberapa agen farmakologi untuk terapi penanganan kardiotoksisitas antrasiklin. Namun, dibutuhkan kajian lebih lanjut terhadap strategi terapi kardiotoksisitas antrasiklin tersebut dari segi kefarmasian untuk memperkaya referensi sebagai dasar praktek klinis untuk tatalaksana kardiotoksisitas, terutama di negara berkembang. Kajian literatur ini bertujuan mengkaji lebih mendalam terkait kardioprotektan dari aspek mekanisme kerja, karakteristik farmakokinetik, serta dari evidence based medicine yang ada. Kajian literatur secara komprehensif dilakukan berdasarkan penelusuran jurnal ilmiah melalui penelusuran elektronik dengan kata kunci kombinasi “cardioprotectiveâ€, “anthracyclineâ€, dan “cardiotoxicityâ€. Dari seluruh artikel yang diperoleh, didapatkan 39 artikel yang dapat dikaji lebih lanjut, yakni artikel mengenai kardiotoksisitas antrasiklin, serta penelitian dan bukti ilmiah mengenai agen-agen farmakologi yang diteliti bersifat kardioprotektif. Kesimpulan dari tinjauan ini adalah beberapa agen farmakologis telah menunjukkan luaran yang baik pada beberapa parameter kardiotoksisitas, namun penelitian tingkat lanjut dengan skala lebih besar dan waktu  follow up yang lebih lama masih diperlukan terutama dengan sampel domestik agar dapat diperoleh konklusi yang dapat diaplikasikan secara klinis pada masyarakat Indonesia.

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