老年患者的心脏瘤学挑战
Ester Topa1, Eliana De Rosa1, Alessandra Cuomo2
1Department of Translational Medical Sciences (DISMET), Federico II University, 80131 Naples, Italy.
Journal of clinical medicine
|May 14, 2025
概括
患有癌症和心血管疾病的老年患者需要谨慎管理. 综合老年评估 (CGA) 可以确定在治疗期间心血管事件的风险较高的老年癌症患者.
科学领域:
- 心脏病学 心脏病学
- 在瘤学瘤学.
- 老年病的医生 老年病的医生
背景情况:
- 在老年人群中,癌症和心血管疾病经常并存,使患者管理复杂化.
- 老年瘤患者由于并发症和治疗复杂性而存在独特的挑战.
研究的目的:
- 描述老年瘤患者的临床特征,并发症和心血管 (CV) 风险因素.
- 探索综合老年学评估 (CGA) 项目与通过心声学评估的心脏功能之间的相关性.
- 在癌症治疗期间识别患有心血管并发症风险较高的患者.
主要方法:
- 108名老年瘤患者根据癌症治疗状况被分为三组.
- 分析了心血管事件 (CVEs),治疗中止和生存率.
- 在62名患者的小组中评估了CGA和心声学参数之间的相关性.
主要成果:
- 接受活性抗瘤治疗的患者 (2组) 呈现了最高的CVE发病率 (61.8%) 和更差的48个月存活率.
- 身体活动与左心室质量指数相反相关,而虚弱指数与E/e'比率直接相关.
- CGA确定了老年参数和心脏功能之间的相关性.
结论:
- 基线心血管评估对于接受癌症治疗的老年患者至关重要.
- 综合老年评估 (CGA) 是一种可行的工具,用于识别患有心血管事件风险增加的老年瘤患者.
- CGA发现与关键心血管参数相关,有助于风险分层.
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