用免疫检查点抑制剂治疗的癌症患者的心血管风险:挑战和未来方向
Sean Tan1,2, Adam J Nelson1,3, Rahul G Muthalaly1,2
1Victorian Heart Institute, Monash University, Melbourne, Australia.
European journal of preventive cardiology
|June 13, 2024
概括
免疫检查点抑制剂 (ICI) 可能会增加癌症幸存者的心血管疾病风险. 早期查和预防策略对于管理癌症护理中这种日益严重的问题至关重要.
科学领域:
- 在瘤学瘤学.
- 心脏病学 心脏病学
- 免疫学 免疫学 免疫学
背景情况:
- 心血管疾病 (CVD) 是癌症患者和癌症幸存者死亡的主要原因.
- 免疫检查点抑制剂 (ICI) 已经改变了癌症治疗,但可能会增加动脉样硬化心血管疾病 (ASCVD) 的风险.
- 在癌症患者中,标准的心血管风险因素经常被忽视,加剧了ASCVD风险.
研究的目的:
- 审查癌症存活率中预防ASCVD的挑战.
- 强调需要在接受ICI治疗的患者中进行心血管风险识别和管理.
- 讨论在瘤学环境中实施心血管护理的实际障碍.
主要方法:
- 本综述综合了有关ICI相关心血管风险的当前文献.
- 它探讨了风险分层和风险管理方面的挑战.
- 它讨论了医疗保健系统对综合护理的障碍.
主要成果:
- ICI治疗与ASCVD风险增加有关,这是由于其促炎作用.
- 缺乏特定的风险工具和潜在的药物相互作用使管理复杂化.
- 现有的医疗保健系统在整合心血管查和预防方面面临挑战.
结论:
- 心血管风险评估和预防对于越来越多的癌症幸存者接受ICI治疗的人群至关重要.
- 应对竞争的死亡风险和实施量身定制的战略至关重要.
- 克服实际和系统障碍是有效预防ASCVD的必要条件.
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