When Your Cancer Drug Affects Your Heart:
Cardiotoxicity risk in metastatic castration-resistant prostate cancer: enzalutamide versus abiraterone | Cardio-Oncology | Springer Nature Link What Every Patient on Xtandi or Zytiga Needs to Know A growing mountain of real-world evidence — now spanning six continents and more than 50,000 patients — reveals important differences in cardiovascular risk between two of prostate cancer's most widely used treatments. Bottom Line Up Front (BLUF) What You Need to Know Before Reading Further Both enzalutamide (Xtandi) and abiraterone (Zytiga/Yonsa) are effective and lifesaving treatments for advanced prostate cancer — neither should be stopped without a doctor's guidance. A landmark 2026 Medicare study of nearly 6,000 patients found that abiraterone carries a 12% higher overall risk of serious cardiac events (MACE) than enzalutamide, rising to 16% higher risk among patients with pre-existing heart disease. Abiraterone was associated with 73% gr...