如何利用当前的指南来管理心力衰竭高风险的癌症患者?
Michelle Bloom1, Jose A Alvarez-Cardona1, Sarju Ganatra2
1Leon H. Charney Division of Cardiology, New York University School of Medicine, NYU Langone Health, New York, NY, USA.
Cardio-oncology (London, England)
|September 28, 2024
概括
癌症幸存者面临心力衰竭 (HF) 和心血管疾病 (CVD) 的风险增加. 以欧洲心脏病学会 (ESC) 准则为指导的早期检测和预防策略对于接受癌症治疗的患者管理这些疾病至关重要.
科学领域:
- 心脏瘤学 - 心脏瘤学
- 癌症幸存者的心血管疾病.
背景情况:
- 癌症治疗改善了生存率,但增加了长期心血管疾病 (CVD) 的风险.
- 心血管疾病 (CVD),包括心力衰竭 (HF) 和心肌病 (CM),是癌症幸存者死亡的主要原因.
- 欧洲心脏病学会 (ESC) 的指导方针为在癌症治疗期间和之后管理心血管 (CV) 健康提供了一个框架.
研究的目的:
- 总结ESC心脏瘤学 (CO) 指南的关键方面,与HF临床医生相关.
- 强调风险分层,早期检测和预防癌症患者的CM和HF.
- 突出指南导向医疗疗 (GDMT) 在该人群中治疗高血压的作用.
主要方法:
- 使用案例研究来说明社会科学委员会指导原则.
- 专注于风险分层,早期发现和预防策略.
- 对癌症患者中HF的GDMT应用的审查.
主要成果:
- 由于与治疗相关的风险,癌症患者需要警心血管监测.
- 积极的风险分层和早期发现CM/HF是必不可少的.
- 欧洲社会委员会 (ESC) 的指导方针提供了一种全面的方法,在整个癌症过程中为心血管保健提供全方位的方法.
结论:
- 将CO原则纳入高频临床实践至关重要.
- 及时干预和GDMT可以减轻癌症患者的HF发病率和死亡率.
- 遵守ESC指导方针可以改善癌症幸存者的HF风险.
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