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心脏肿瘤学:一个新的医学问题。

Cardio-oncology: a new medical issue.

作者信息

Cardinale D, Colombo A, Lamantia G, Colombo N, Civelli M, De Giacomi G, Pandini C, Sandri M T, Cipolla C M

机构信息

Cardiology Unit and Laboratory Medicine Unit, European Institute of Oncology, IRCCS, 20141 Milan, Italy.

出版信息

Ecancermedicalscience. 2008;2:126. doi: 10.3332/ecancer.2008.126. Epub 2008 Dec 15.

Abstract

Due to the increasing number of long-term cancer survivors, the ageing of the population, as well as the increased incidence and prevalence of oncologic and cardiovascular diseases, the number of patients presenting oncologic and cardiologic co-morbidities are increasing. Accordingly, there is a rapidly growing need for a comprehensive and proficient management of patients in whom the two co-morbidities exist, and for cancer patients whose clinical history and oncologic treatment put them at higher risk for developing cardiovascular problems, in order to provide the optimal treatment in every situation, and to avoid the possibility that the development of the second disease does not lead to a reduction of therapeutic opportunities for the patient. A new discipline, cardio-oncology, has been created to deal with this need. Its aim is to investigate new strategies, collect new evidence-based indications and develop interdisciplinary expertise in order to manage this growing category of patients. Cardio-oncology deals with the following main clinical and research areas: early diagnosis of cardiotoxicity, risk stratification and preventions, treatment and monitoring of cardiotoxicity.

摘要

由于长期癌症幸存者数量不断增加、人口老龄化以及肿瘤和心血管疾病的发病率和患病率上升,同时患有肿瘤和心血管疾病的患者数量正在增加。因此,对于同时患有这两种疾病的患者以及那些临床病史和肿瘤治疗使其患心血管问题风险更高的癌症患者,迫切需要进行全面、专业的管理,以便在各种情况下提供最佳治疗,并避免第二种疾病的发生导致患者治疗机会减少。为满足这一需求,一门新学科——心脏肿瘤学应运而生。其目的是研究新策略、收集新的循证指征并发展跨学科专业知识,以管理这类不断增加的患者群体。心脏肿瘤学涉及以下主要临床和研究领域:心脏毒性的早期诊断、风险分层与预防、心脏毒性的治疗与监测。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/145a/3234071/cd054ae0e201/can-2-126f1.jpg

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