风险分层,查和治疗BRAF/MEK抑制剂 - 相关心脏毒性
Isabelle Senechal1,2, Maria Sol Andres3, Jieli Tong3
1Cardio-Oncology Service, Royal Brompton Hospital, Guy's and St. Thomas' NHS Foundation Trust, London, UK. isabelle.senechal-dumais.1@ulaval.ca.
BRAF和MEK抑制剂可以改善癌症预后,但可以导致心血管不良事件,如左心室功能障碍和高血压. 早期监测和管理是患者安全和有效治疗的关键.
科学领域:
- 在瘤学瘤学.
- 心脏病学 心脏病学
- 药理学 药理学是指药理学的学科.
背景情况:
- BRAF和MEK抑制剂是BRAF突变癌症的标准治疗方法,特别是黑色素瘤.
- 这些向疗法显著改善了以前难以治疗的癌症的结果.
研究的目的:
- 审查与BRAF和MEK抑制剂相关的心血管不良事件.
- 描述它们的病理生理机制.
- 为心脏毒性监测和管理提供指导.
主要方法:
- 对心血管不良事件和机制的文献综述.
- 综合当前关于风险分层和风险管理的证据.
主要成果:
- BRAF/MEK抑制剂与心脏毒性有关,包括左心室缩功能障碍,高血压和QTc延长.
- 这些毒性在很大程度上是可逆的,并且可以通过药物治疗来控制.
- 心脏毒性可能会限制这些重要的抗癌剂的疗效.
结论:
- 对接受BRAF和MEK抑制剂的患者来说,心血管监测至关重要.
- 及时识别和管理心脏毒性对于最佳的患者结果至关重要.
- 进一步研究减轻心脏毒性是有必要的.
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