Should abdominal CT scan be performed routinely prior to CRT insertion?
Przeglad Lekarski
|April 26, 2018
Summary
Cancer is a significant factor in heart failure (HF) patient outcomes. This study suggests routine cancer screening for symptomatic HF patients may identify malignancies impacting their health.
Area of Science:
- Cardiology
- Oncology
- Internal Medicine
Background:
- Cancer is a major non-cardiovascular factor impacting heart failure (HF) morbidity and mortality.
- Chemotherapy increases HF risk, necessitating HF screening in cancer patients.
- Limited data exists on the necessity of routine cancer screening in HF patients.
Purpose of the Study:
- To investigate if cancer contributes to symptoms misdiagnosed as HF-related.
- To explore the potential link between HF and cancer development/exacerbation.
Main Methods:
- Analysis of data from 18 HF patients (NYHA Class II-IV) with CRT.
- Patients had persistent HF symptoms despite optimal therapy.
- Diagnostic tests included echocardiography, abdominal CT, and laboratory tests.
Main Results:
- 57% of patients had renal cysts or adrenal adenomas.
- 22% of patients (4/18) were diagnosed with suspected malignancies.
- Malignancies were found in adrenal glands and kidneys.
Conclusions:
- Cancer may exacerbate HF symptoms and vice versa.
- Consider cancer screening in HF patients with persistent symptoms on optimal therapy.
- Early identification of common cancers in HF patients is crucial.
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