放射治疗的心血管毒性以及推的查和监测
Gabriela Narowska1, Sakshi Gandhi1, Allison Tzeng1
1Department of Cardiology, Temple University Hospital, Philadelphia, PA 19140, USA.
Journal of cardiovascular development and disease
|November 24, 2023
概括
治疗癌症的辐射疗法可能会导致心脏问题. 本综述详细介绍了心脏副作用,风险因素以及查,监测和管理策略,以改善患者的治疗结果.
科学领域:
- 心脏病学 心脏病学
- 在瘤学瘤学.
- 辐射瘤学 辐射瘤学
背景情况:
- 放射治疗对于癌症治疗至关重要,导致死亡率降低.
- 增加的生存率揭示了长期的副作用,特别是心血管并发症.
- 对胸部癌症 (食道癌,乳腺癌,肺癌) 和淋巴瘤的胸部辐射具有心脏风险.
研究的目的:
- 描述放射治疗对心血管的副作用.
- 为了确定心脏损伤的相关风险因素.
- 提供关于降低风险,查,监测和管理的指导.
主要方法:
- 关于辐射引起的心脏病的文献综述.
- 分析短期和长期的心脏并发症.
- 讨论风险分层和降低风险的策略.
主要成果:
- 心脏损伤的表现包括心周炎,心肌病,膜疾病和导电障碍.
- 心脏毒性的危险因素是多因素的.
- 现有有效的策略可以减少与辐射有关的心脏病发病率.
结论:
- 了解和管理辐射诱导的心血管影响是必不可少的.
- 积极的查,监测和管理协议可以减轻心脏损伤.
- 多学科方法是改善癌症幸存者的长期结果的关键.
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