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癌症患者心血管疾病的治疗。

Treatment of cardiovascular diseases in cancer patients.

作者信息

Noutsias M, Maisch B

机构信息

Department of Internal Medicine-Cardiology, University Hospital of Marburg and Giessen / UKGM GmbH, Philipps-Universität Marburg, Deutschland.

出版信息

Herz. 2011 Jun;36(4):340-5. doi: 10.1007/s00059-011-3452-5.

Abstract

Cardiovascular diseases and cancer are the leading causes of death in the Western world. Cancer treatment has been associated with cardiovascular complications, among others cardiotoxicity of mediastinal radiation and certain chemotherapeutics. Identification of patients at high risk, prevention, early diagnosis, and treatment of cardiovascular diseases are emerging fields in cancer patients. Close interdisciplinary work between oncologists and cardiologists is pertinent for the treatment of cardiovascular diseases and complications in cancer patients. Diagnostics and treatment applied to the individual case should be based on the available evidence in terms of patient-centered management. Further clinical research focused on the pathogenesis and treatment of cardiovascular diseases in cancer patients is warranted to pave the way to guidelines for this nonhomogeneous patient group.

摘要

心血管疾病和癌症是西方世界的主要死因。癌症治疗与心血管并发症相关,其中包括纵隔放疗和某些化疗药物的心脏毒性。识别高危患者、预防、早期诊断和治疗心血管疾病是癌症患者领域中正在兴起的领域。肿瘤学家和心脏病学家之间密切的跨学科合作对于治疗癌症患者的心血管疾病和并发症至关重要。针对个体病例的诊断和治疗应以患者为中心管理方面的现有证据为基础。有必要开展进一步的临床研究,聚焦癌症患者心血管疾病的发病机制和治疗,为这一异质性患者群体制定指南铺平道路。

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