肿瘤心脏病学:远远超出心脏毒性

Wei Jing, W. Pan, Pan Min
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引用次数: 0

摘要

癌症患者的CVD可以先于癌症的诊断,或者可以与恶性肿瘤本身或其治疗有关。许多心血管表型在不同的癌症治疗中被确定为常见。Lipshultz等人[6]发现,儿童癌症幸存者,无论是否接受心脏毒性治疗,其心血管异常不仅与左心室结构和功能异常有关,还与动脉粥样硬化疾病和全身炎症的传统危险因素增加有关。最近,在一项病例对照研究中对癌症患者的心房颤动(AF)与中风/短暂性脑缺血发作(TIA)之间的关系进行了研究,即CHA2DS2-VASc评分,发现心力衰竭、高血压、老年和糖尿病等组分与普通人群中的中风有关,无论是否存在房颤,都会显著增加癌症患者中风的风险[7]。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Oncocardiology: Far beyond the cardiotoxicity
CVD in cancer patients can precede the diagnosis of cancer or can be related to the malignancy itself or its therapy. Many cardiovascular phenotypes have been identi ied as common across different cancer treatments. Lipshultz, et al. [6] found that survivors of childhood cancer, regardless of exposure to cardiotoxic treatments, had cardiovascular abnormalities related not only to abnormal left ventricular structure and function but also to increased traditional risk factors for atherosclerotic disease and systemic in lammation. Most recently, the relationship between atrial ibrillation (AF) and Stroke/ transient ischemic attacks (TIA) in cancer patients was conducted in a case-control study, the CHA2DS2-VASc score, which components such as heart failure, hypertension, old age, and diabetes mellitus were found to be associated with stroke in the general population, signi icantly increases the risk of stroke in cancer patients regardless of the presence of AF [7].
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