From the Department of Medicine, University of Louisville School of Medicine, KY (C.G.L.); and Cardiovascular Institute, Maine Medical Center, Portland (D.B.S.).
Circ Res. 2016 Mar 18;118(6):1008-20. doi: 10.1161/CIRCRESAHA.115.303633.
Through the success of basic and disease-specific research, cancer survivors are one of the largest growing subsets of individuals accessing the healthcare system. Interestingly, cardiovascular disease is the second leading cause of morbidity and mortality in cancer survivors after recurrent malignancy. This recognition has helped stimulate a collaboration between oncology and cardiology practitioners and researchers, and the portmanteau cardio-oncology (also known as onco-cardiology) can now be found in many medical centers. This collaboration promises new insights into how cancer therapies impact cardiovascular homeostasis and long-term effects on cancer survivors. In this review, we will discuss the most recent views on the cardiotoxicity related to various classes of chemotherapy agents and radiation. We will also discuss broadly the current strategies for treating and preventing cardiovascular effects of cancer therapy.
通过基础和疾病特异性研究的成功,癌症幸存者是大量进入医疗保健系统的人群之一。有趣的是,心血管疾病是癌症幸存者继复发性恶性肿瘤之后第二大致病和死亡的原因。这种认识促使肿瘤学和心脏病学医生和研究人员之间开展合作,在许多医疗中心都能找到心脏病肿瘤学(也称为肿瘤心脏病学)这个术语。这种合作有望深入了解癌症疗法如何影响心血管稳态以及对癌症幸存者的长期影响。在这篇综述中,我们将讨论与各种化疗药物和放疗相关的心脏毒性的最新观点。我们还将广泛讨论治疗和预防癌症治疗心血管影响的当前策略。