放射疗法的心脏并发症
Raja Zaghlol1, Lauren Pedersen2, Syed Qamer1
1Division of Cardiovascular Disease, Cardio-oncology Section, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8086, St Louis, MO 63110, USA.
Cardiology clinics
|November 17, 2024
概括
放射治疗可能会损害心脏,在癌症幸存者中引起辐射诱导心脏毒性 (RICT). 本次审查涵盖了RICT.
科学领域:
- 心脏病学 心脏病学
- 在瘤学瘤学.
- 辐射瘤学 辐射瘤学
背景情况:
- 放射治疗对于癌症治疗至关重要,提高了生存率.
- 胸部辐射可能会导致心脏意外损伤,导致辐射诱导心脏毒性 (RICT).
- 随着癌症存活率的增加,RICT越来越令人担忧.
研究的目的:
- 审查辐射诱导心脏毒性 (RICT) 的频谱和病理生理学.
- 总结目前关于RICT风险分层,查,预防和管理的建议.
- 简要讨论辐射在心脏病中的新用途.
主要方法:
- 关于辐射诱导心脏毒性的文献综述.
- 对RICT管理的当代指导方针的综合.
- 探索辐射疗法的新兴应用.
主要成果:
- 辐射诱导心脏毒性 (RICT) 呈现出一系列的心脏问题.
- 为了管理RICT,已有确定的协议.
- 放射治疗正在探索治疗心律失常的方法.
结论:
- 辐射诱导心脏毒性 (RICT) 是癌症幸存者的重要临床考虑因素.
- 有针对RICT预防和管理的综合策略.
- 辐射疗法具有新的心脏应用的潜力.
相关概念视频
Imaging Studies for Cardiovascular System III: X-Ray
145
The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
145
Rheumatic Heart Disease I: Introduction
3
Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
3
Radiological Investigation III: Pulmonary Angiogram and PET Scan
86
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
86
Imbalances in Cardiac Output
1.3K
The heart's primary function is to pump blood throughout the body, maintaining a balance between blood sent out (cardiac output) and blood returning (venous return). If this balance is disrupted, it can result in congestive heart failure (CHF), a severe condition where the heart becomes an inefficient pump, leading to inadequate blood circulation.
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
1.3K
Imaging Studies for Cardiovascular System I:Echocardiography
297
Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
297
Pericarditis IV: Nursing Management
2
Pericarditis, an inflammation of the pericardium, necessitates diligent nursing management to ensure effective patient care and recovery. The initial step in managing pericarditis is a comprehensive patient medical assessment.The patient reports chest pain aggravated by breathing, coughing, and swallowing, which worsens when lying supine. The pain often improves when sitting up and leaning forward. Additional symptoms may include fever, malaise, and, in severe cases, signs of heart failure.
2


