癌症患者的心血管风险:墨西哥心脏瘤诊所的初步经验
Cuitlahuac Arroyo-Rodríguez1,2, Arturo E Espinosa-Picos2, Lorena Ledesma-Lopez2
1Department of Cardiology, Hospital San José, Hermosillo, Son., Mexico.
Archivos de cardiologia de Mexico
|August 11, 2025
概括
在癌症治疗前的心血管风险对于两种癌症类型都类似. 很大一部分患者面临与癌症治疗相关的心血管毒性 (CTR-CVT) 的高风险.
科学领域:
- 心脏瘤学 - 心脏瘤学
- 心血管医学 心血管医学
- 在瘤学瘤学.
背景情况:
- 癌症治疗可以导致心血管并发症.
- 在治疗前评估心血管风险对于患者管理至关重要.
- 接受癌症治疗的墨西哥患者需要特定的风险分层.
研究的目的:
- 为了确定墨西哥患者开始癌症治疗的心血管风险.
- 为了比较患有瘤和血液恶性瘤的患者之间的这种风险.
- 为了确定患有癌症治疗相关心血管毒性高风险的患者 (CTR-CVT).
主要方法:
- 在开始癌症治疗之前,评估了106名患者.
- 心声学评估左心室喷射率 (LVEF) 和全球纵向应变 (GLS).
- 用心力衰竭协会-国际心脏瘤学会 (HFA-ICOS) 风险评分来估计CTR-CVT风险.
主要成果:
- 在所有患者中,有14.2%被归类为CTR-CVT.高风险患者.
- 在10.4%的患者中发现了异常的全球纵向应变 (<18%).
- 在瘤 (14.7%) 和血液 (10.2%) 恶性瘤之间,CTR-CVT的风险是可比的.
结论:
- 在接受癌症治疗之前,显著比例的墨西哥患者面临高心血管风险.
- 对于瘤和血液恶性瘤,心血管风险概况是相似的.
- 早期心血管风险评估对于接受癌症治疗的患者至关重要.
更多相关视频
相关概念视频
Cardiomyopathy V: Interprofessional Care
33
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
33
Cancer Therapies
7.9K
Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
7.9K
Cancer Prevention
6.3K
Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
Some...
6.3K
Treatment Resistant Cancers
3.4K
Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.4K
Coronary Artery Disease IV: Preventive Measures
32
Effective preventive measures for coronary artery disease (CAD) focus on controlling modifiable risk factors, including cholesterol abnormalities and lifestyle changes.Cholesterol ManagementFirst, the Mediterranean diet and the American Heart Association advocate for maintaining low-density lipoprotein (LDL) cholesterol levels below 100 mg/dL, with a more stringent recommendation of below 70 mg/dL for individuals at high risk. LDL cholesterol, often termed "bad cholesterol," can lead to the...
32
Cardiomyopathy VI: Nursing Management
40
Assessment: Nursing management of patients with cardiomyopathy begins with a thorough assessment of the patient's history, including a family history of cardiomyopathy or sudden cardiac death, personal history of heart disease, hypertension, diabetes, and any alcohol consumption or drug use.During the physical examination, assess vital signs, look for signs of heart failure (such as edema, jugular venous distention, and cyanosis), auscultate for abnormal heart sounds (like murmurs and gallops),...
40


