与心脏毒性相关的抗肿瘤治疗

L. Fu, Z. Bian
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引用次数: 0

摘要

抗肿瘤治疗相关的心脏毒性已成为影响癌症患者长期生存的一个重要问题。因此,了解引起心脏毒性不良反应的现有治疗类型并探索其潜在机制具有重要的临床意义。本文综述了心脏毒性相关抗肿瘤治疗的主要类型,可分为传统化疗、靶向治疗、放疗和免疫治疗;之后我们讨论了每种反应的可能机理。此外,以超声心动图、MRI以及一些生物标志物为主的监测和检查方法多种多样,但目前还没有一个标准或标准来早期、及时地发现这些患者的心脏毒性效应。接下来,我们就以化疗为基础的抗肿瘤治疗或即将接受抗肿瘤治疗的患者对心脏的保护或预防进行了总结。最后,我们对目前面临的问题和挑战进行了讨论,并对心脏肿瘤学的未来进行了展望。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Antineoplastic Therapies related Cardiotoxicity
Antineoplastic therapies related cardiotoxicity has become a significant concern for the long-term survival of cancer patients going through such treatments. Thus knowing the existing types of therapies that causes cardiotoxicity adverse effects as well as exploring their underlying mechanisms is of great clinical importance. In this article, we have made a review on the main types of cardiotoxicity-related antineoplastic therapies, which could be divided into traditional chemotherapy, targeted therapy, radiotherapy and immune therapy; and later we discussed on the possible mechanism of each of them. Besides, the monitoring and inspection methods which consists mainly of the echocardiography, MRI as well as some biomarkers, various as the methods, right now there however doesn’t exist any standard or criterion for the early and timely detection of the cardiotoxicity effects for these patients. Furthermore, next we made a summary on the protection or prevention of the heart for patients treated or going to be treated with antineoplastic therapies, mainly based on the chemotherapy. Lastly, we made a discussion on the problems and challenges we are facing and drew a prospect of the future on cardio-oncology.
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