癌症诱导的静止鼻慢心:一个被忽视的临床诊断
Minas Sakellakis1, Jashan Reet1, Michail Kladas1
1Department of Medicine, Jacobi Medical Center/North Central Bronx Hospital, Albert Einstein College of Medicine, Bronx, NY, United States.
Oncology reviews
|August 19, 2024
概括
癌症患者的休息心率升高是常见的,并与死亡率有关. 癌症本身,而不仅仅是治疗,可以引起这种心力衰竭,影响患者的护理和结果.
科学领域:
- 在瘤学瘤学.
- 心脏病学 心脏病学
- 内部医学 内部医学
背景情况:
- 休息心率升高 (RHR) 是癌症患者经常观察到的情况.
- 这种升高的RHR与增加的死亡率有关.
- 化学疗法的心脏毒性是众所周知的,但化学疗法未经治疗的患者的心力衰竭表明其他与癌症相关的因素.
研究的目的:
- 为了全面描述与癌症相关的休息性鼻高心率作为一个独特的临床实体.
- 探索癌症患者心跳动的多因素原因.
- 为了突出临床困境在管理高心率在这个人群.
主要方法:
- 对有关癌症相关心动减速的现有文献的综述.
- 分析潜在的促成因素,包括心脏结构变化,炎症性细胞因子和血栓栓塞性疾病.
- 讨论补偿机制,如增加的代谢需求和心脏输出.
主要成果:
- 与癌症相关的休息性鼻高心率是未被认可的.
- 原因包括直接的癌症影响 (心脏结构变化,炎症,血栓栓塞) 和补偿生理反应.
- 短心症是一个诊断挑战,需要与急性危及生命的疾病区分开来.
结论:
- 癌症本身是休息性鼻高心率的重要原因.
- 保守的管理策略通常是合适的,避免不必要的调查.
- 识别和管理与癌症相关的低心率可以改善患者的生存率和生活质量.
相关概念视频
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Arrhythmias are disturbances in the heart's rhythm that lead to abnormal heartbeats. These irregularities can originate from different parts of the heart and are classified based on their origin and nature.
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Sinus Node Arrhythmias
Sinus Bradycardia: Originating from the sinoatrial (SA) node, sinus bradycardia involves slower impulses, resulting in a heart rate of less than 60 beats per minute (bpm). Causes include sleep, vagal stimulation, beta-blockers, hypothyroidism,...
Types of Arrhythmias
Sinus Node Arrhythmias
Sinus Bradycardia: Originating from the sinoatrial (SA) node, sinus bradycardia involves slower impulses, resulting in a heart rate of less than 60 beats per minute (bpm). Causes include sleep, vagal stimulation, beta-blockers, hypothyroidism,...
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Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
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