冠状动脉微血管功能障碍和与癌症治疗有关的心血管毒性
Kalyan R Chitturi1, Sukhdeep Bhogal2, Seyed Ebrahim Kassaian3
1Section of Interventional Cardiology, MedStar Washington Hospital Center, Washington, DC, United States of America.
概括
冠状动脉微血管功能障碍 (CMD) 可能导致正在接受治疗的癌症患者的心脏问题. 需要进一步的研究来理解和管理这些心血管毒性.
科学领域:
- 心脏病学 心脏病学
- 在瘤学瘤学.
- 心血管研究研究心血管研究
背景情况:
- 冠状动脉微血管功能障碍 (CMD) 与INOCA和MINOCA等各种心脏疾病有关.
- 关于CMD在癌症治疗相关心血管毒性的作用的数据有限.
研究的目的:
- 在治疗期间经历MINOCA或INOCA的癌症患者中调查CMD的存在.
主要方法:
- 在四名患有活跃癌症和新发癌症的女性中,进行了心脏导管和冠状动脉血管学. MINOCA/INOCA.
- 冠状动脉功能测试评估了非高血压 (RFR) 和高血压 (FFR) 指数,冠状动脉流量储备 (CFR) 和微循环阻力指数 (IMR).
- 在CMD的定义中,CFR<2.5和IMR>25.
主要成果:
- 在这四名患者中没有发现阻塞性冠状动脉疾病.
- 在两名患者中发现了CMD,其中一位患有INOCA,另一个患有与免疫检查点抑制剂相关的心肌炎.
结论:
- 冠状动脉疾病可能是与癌症疗法相关的心血管毒性的一个因素.
- 对冠状动脉生理学的进一步研究对于阐明癌症治疗相关心血管毒性和CMD的机制和指导治疗至关重要.
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