%0 Journal Article %T Prevention of cardiotoxicity in childhood cancer survivors: In physical exercise, we trust. %A Bucciarelli V %A Bianco F %A Bisaccia G %A Galanti K %A Arata A %A Ricci M %A Bucciarelli B %A Marinelli M %A Renda G %A Farinetti A %A Mattioli AV %A Gallina S %J Curr Probl Cardiol %V 49 %N 9 %D 2024 Sep 20 %M 38908726 %F 16.464 %R 10.1016/j.cpcardiol.2024.102722 %X In recent years, the mean survival rate of children after a cancer diagnosis has significantly improved. At the same time, a growing interest in short and long-term cardiovascular (CV) complications of cancer therapy, as well as long-term CV risk in childhood cancer survivors (CCS) developed, along with proposals of protocols for the diagnosis, management, and prevention of cancer therapy-related CV toxicity (CTR-CVT) in this population. Many clinical and individual risk factors for CTR-CVT have been identified, and a non-negligible prevalence of traditional CV risk factors has been described in this population, potentially associated with a further worsening in both CTR-CVT and long-term CV risk. Physical exercise (PE) represents a promising, free-of-cost and free-of-complications, helpful therapy for primary and secondary prevention of CTR-CVT in CCS. The present narrative review aims to summarize the most critical evidence available about CTR-CVT in CCS, focusing on the role of PE in this clinical scenario.