预防与癌症治疗有关的心脏功能障碍
Elias Haj-Yehia1, Lars Michel1, Raluca I Mincu1
1Department of Cardiology and Vascular Medicine, West German Heart and Vascular Center Essen, University Hospital Essen, Hufelandstraße 55, 45147, Essen, Germany.
Current heart failure reports
|February 19, 2025
概括
预防与癌症治疗相关的心脏功能障碍 (CTRCD) 对癌症幸存者至关重要. 早期风险评估,心脏保护策略和定期监测可以减轻心脏毒性,改善患者的治疗结果.
科学领域:
- 心脏病学 心脏病学
- 在瘤学瘤学.
- 心脏瘤学 - 心脏瘤学
背景情况:
- 现代癌症疗法提高了生存率,但增加了癌症治疗相关心脏功能障碍 (CTRCD) 的发生率.
- CTRCD呈现了一种从轻微功能障碍到严重心力衰竭的频谱,需要预防策略.
研究的目的:
- 审查主要方法来限制CTRCD的发展和进展.
- 突出早期检测和干预对癌症患者心脏毒性管理的重要性.
主要方法:
- 在癌症治疗前对心血管并发症进行心脏学评估.
- 心脏保护性干预,包括药物治疗和生活方式优化.
- 定期监测使用先进的诊断方法,如3D心声学和全球纵向应变 (GLS).
主要成果:
- 治疗前风险分层识别需要更密切监测的高风险患者.
- 在治疗前和治疗期间采取心脏保护措施可以降低CTRCD风险.
- 通过敏感诊断的早期检测可以及时干预,以防止进展.
结论:
- 风险分层,心脏保护和监测的综合战略有效地预防了CTRCD.
- 预防心脏毒性可以保持抗瘤效果,同时改善生活质量和生存率.
- 积极的心脏瘤护理对于管理癌症治疗副作用至关重要.
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