关于接受心脏毒性化疗的癌症患者心脏保护疗法的现代观点

Anton K. Peresada, D. Dundua, A. Kedrova, Irina N. Oleinikova, Anna V. Masterkova
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摘要

背景:接受大剂量心脏毒性联合抗癌药物治疗的癌症患者发生心血管并发症的风险增加。在治疗期间,患者可能会出现心血管系统并发症,尤其是慢性心力衰竭(CHF)。如果没有必要的实验室和仪器控制,就不可能提前预测心力衰竭的发生,而心力衰竭往往会使化疗复杂化,在某些情况下甚至需要取消挽救生命的抗癌治疗。事实证明,及时的心脏保护(一种旨在预防癌症患者心肌功能障碍的药物干预)可以预防心力衰竭的发生。 目的:本综述旨在简要反映各种化疗方案的心脏毒性机制,以及目前对接受心脏毒性化疗的癌症患者进行心脏保护的可能性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A modern view on cardioprotective therapy in cancer patients receiving cardiotoxic chemotherapy
Background: Cancer patients receiving high doses of cardiotoxic combined anticancer drugs have an increased risk of cardiovascular complications. During treatment, patients may experience complications from the cardiovascular system, in particular chronic heart failure (CHF). Without the necessary laboratory and instrumental control, it is impossible to predict in advance the development of heart failure, which often complicates chemotherapy, and, in some cases necessitates cancellation of life-saving anticancer therapy. It turned out that timely cardioprotection, a drug intervention aimed at preventing myocardial dysfunction in cancer patients, can prevent the development of heart failure. Aim: The purpose of this review is to briefly reflect the mechanisms of cardiotoxicity in various chemotherapy regimens, as well as the current possibilities of cardioprotection in cancer patients receiving cardiotoxic chemotherapy
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