癌症患者的心脏病诊断方案

E. Hernández Sánchez, M.A. Sanromán Guerrero, J.L. Zamorano Gómez
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引用次数: 0

摘要

在接受肿瘤治疗的癌症患者中,在开始与潜在心血管毒性相关的治疗之前,必须确定并考虑心血管危险因素和先前存在的心脏病。基于这一评估,必须制定预防和随访计划,以便早期诊断和管理心血管并发症。某些肿瘤治疗的风险收益比将由多学科团队评估,以确定是否在出现不良事件时继续或停止治疗。对于长期接受治疗且心血管风险高的患者,必须进行随访,直至治疗结束。在完成肿瘤治疗后,建议重新评估心血管风险,重点是协调长期随访,以发现潜在的晚期并发症。在继发性肿瘤的情况下,在开始任何治疗之前,必须重新评估患者的心血管风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Protocolo diagnóstico de la cardiopatía en el paciente oncológico
In patients with cancer who are going to undergo oncologic treatment, cardiovascular risk factors and pre-existing heart disease must be identified and considered before starting therapies associated with potential cardiovascular toxicity. Based on this assessment, a prevention and follow-up plan must be established to enable an early diagnosis and manage cardiovascular complications. The risk-benefit ratio of certain oncologic treatments will be evaluated by multidisciplinary teams, determining whether to continue or discontinue therapy in the presence of adverse events. In patients undergoing prolonged treatment with high cardiovascular risk, follow-up must be performed until the end of treatment. Upon completion of oncologic therapy, a reassessment of cardiovascular risk is recommended with a focus on coordinating long-term follow-up to detect potential late complications. In the case of secondary neoplasms, the patient's cardiovascular risk must always be restratified before initiating any treatment.
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