干预性心脏瘤学:高风险人群中独特的挑战和考虑
Orly Leiva1, Usman Alam2, Isaac Bohart2
1Division of Cardiology, Department of Medicine, New York University Grossman School of Medicine, New York, NY, USA.
Current treatment options in oncology
|June 9, 2023
概括
癌症患者可以从心血管干预中获益,例如穿皮冠状动脉干预 (PCI) 和门修复. 这些治疗动脉样硬化心脏病 (AHD) 和膜心脏病 (VHD) 不应被拒绝从癌症患者.
科学领域:
- 心脏病学 心脏病学
- 在瘤学瘤学.
- 干预心脏病学 干预心脏病学
背景情况:
- 癌症患者面临心血管疾病 (CVD) 的风险增加,包括动脉样性心脏病 (AHD),膜心脏病 (VHD) 和心房动 (AF).
- 穿皮导管治疗对心血管疾病具有显著的益处,但由于试验排除,在癌症患者中往往未得到充分利用.
研究的目的:
- 评估癌症患者皮肤内心血管干预的好处.
- 倡导在这个弱势群体中适当使用这些拯救生命的程序.
主要方法:
- 审查现有的临床试验数据和调查皮肤穿透心血管干预的注册表.
- 对癌症患者进行皮肤穿冠状动脉干预 (PCI),皮肤穿门修复/更换和切除/左心房附属物闭塞装置 (LAAODs) 等手术的结果分析.
主要成果:
- 研究表明,癌症患者与非癌症患者从皮肤通用心血管疾病治疗中获得的益处与非癌症患者相似.
- 尽管被排除在某些试验之外,但证据支持这些干预措施在癌症患者群体中的有效性.
结论:
- 对心血管疾病的皮肤间干预不应该被拒绝从癌症患者.
- 癌症患者可能会从这些先进的心血管治疗中获得类似的好处.
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