乳腺癌幸存者的心血管结果:系统性审查和元分析
Akhmetzhan Galimzhanov1,2, Sedralmontaha Istanbuly2,3, Han Naung Tun4
1Department of Propedeutics of Internal Disease, Semey Medical University, Semey, Kazakhstan.
European journal of preventive cardiology
|July 27, 2023
概括
与普通人群相比,乳腺癌幸存者面临心血管死亡,心力衰竭和心房的风险更高. 这一元分析量化了这些增加的风险,强调了癌症患者心血管监测的必要性.
科学领域:
- 心脏病学 心脏病学
- 在瘤学瘤学.
- 流行病学 流行病学
背景情况:
- 与一般人群相比,乳腺癌 (Bc) 幸存者的长期心血管风险仍然不清楚.
- 这项研究旨在量化BC患者心血管疾病 (CVD) 的风险和发病率.
研究的目的:
- 量化乳腺癌患者心血管疾病发展的风险.
- 将这种风险与匹配的无癌症人群中的风险进行比较.
- 报告乳腺癌患者心血管事件的发生率.
主要方法:
- 一个系统的观测研究和随机对照试验后期分析的系统的元分析.
- 在PubMed,Scopus和Web of Science数据库中搜索到2022年3月.
- 综合发病率和心血管死亡,心力衰竭,心房动,冠状动脉疾病,心肌梗塞和中风的危险比率.
主要成果:
- 与对照组相比,乳腺癌患者在5年内 (HR=1.09),10年内心力衰竭 (HR=1.21) 和3年内心房 (HR=1.13) 的心血管死亡风险较高.
- 报告了心血管死亡,心力衰竭,冠状动脉疾病,心肌梗塞和中风的综合发病率.
- 评估了显著的异质性和出版偏差.
结论:
- 乳腺癌诊断与心血管死亡,HF和AF的风险增加有关.
- 心血管事件的发生率因人口特征和研究的特定终点而异.
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