成人造血干细胞移植后的心血管疾病

IF 12 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS
David G. Gent MBChB (Hons) , Muhammad Saif MD , Rebecca Dobson MD , David J. Wright MD
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引用次数: 0

摘要

在过去 40 年中,造血细胞移植(HCT)的使用范围不断扩大,包括年龄更大、合并症更多的人群。这些患者在接受 HCT 后患心血管疾病的风险增加。这种风险因多种因素而异,包括移植类型(自体或异体)。许多用于 HCT 的疗法都可能具有心脏毒性。HCT 后的心血管并发症包括房性心律失常、心力衰竭、心肌梗塞和心包积液。在进行 HCT 之前,患者应接受全面的心血管评估,并根据个人的心血管风险水平进行持续监测。在本综述中,我们将概述 HCT 后的心肌毒性,并概述我们的风险评估和持续护理方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cardiovascular Disease After Hematopoietic Stem Cell Transplantation in Adults

The use of hematopoietic cell transplantation (HCT) has expanded in the last 4 decades to include an older and more comorbid population. These patients face an increased risk of cardiovascular disease after HCT. The risk varies depending on several factors, including the type of transplant (autologous or allogeneic). Many therapies used in HCT have the potential to be cardiotoxic. Cardiovascular complications after HCT include atrial arrhythmias, heart failure, myocardial infarction, and pericardial effusions. Before HCT, patients should undergo a comprehensive cardiovascular assessment, with ongoing surveillance tailored to their individual level of cardiovascular risk. In this review, we provide an overview of cardiotoxicity after HCT and outline our approach to risk assessment and ongoing care.

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来源期刊
CiteScore
12.50
自引率
6.30%
发文量
106
期刊介绍: JACC: CardioOncology is a specialized journal that belongs to the esteemed Journal of the American College of Cardiology (JACC) family. Its purpose is to enhance cardiovascular care for cancer patients by publishing high-quality, innovative scientific research and sharing evidence-based knowledge. The journal aims to revolutionize the field of cardio-oncology and actively involve and educate professionals in both cardiovascular and oncology fields. It covers a wide range of topics including pre-clinical, translational, and clinical research, as well as best practices in cardio-oncology. Key areas of focus include understanding disease mechanisms, utilizing in vitro and in vivo models, exploring novel and traditional therapeutics (across Phase I-IV trials), studying epidemiology, employing precision medicine, and investigating primary and secondary prevention. Amyloidosis, cardiovascular risk factors, heart failure, and vascular disease are some examples of the disease states that are of particular interest to the journal. However, it welcomes research on other relevant conditions as well.
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