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乳腺癌患者发生动脉粥样硬化并发症高危情况下全身治疗的心脏安全性。

Cardiac safety of systemic therapy in breast cancer patients with high risk of atherosclerosis complications.

作者信息

Matyszewski Arthur, Czarnecka Anna M, Stachowiak Paweł, Nowakowska Marta, Kornacewicz-Jach Zdzisława, Kasprzak Jarosław D, Szczylik Cezary

机构信息

Department of Oncology, Military Institute of Medicine, Warsaw, Poland.

Department of Internal Medicine & Oncology, 108th Military Hospital with Outpatient Clinic, Elk, Poland.

出版信息

Future Oncol. 2017 Mar;13(7):593-602. doi: 10.2217/fon-2016-0425. Epub 2016 Oct 27.

Abstract

AIM

This study was designed to verify the efficacy of breast cancer treatment and its cardiac toxicity in population with significant cardiac comorbidities.

MATERIALS & METHODS: Prospective observational study was conducted in 48 patients.

RESULTS

The increase and dependence of echocardiographic parameter early/late were observed on hemoglobin level in all patients, and white blood cells and cholesterol in patients with diabetic were reported. Patients undergo left ventricle diameter change on treatment.

CONCLUSION

Use of potentially cardiotoxic chemo regimens in breast cancer patients with cardiac comorbidities, with optimized cardiac therapy accordingly can save patients from development of early myocardial dysfunction induced by chemotherapy - limiting factor to minimize the risk is optimization of lipid level, red blood cell count and platelets count.

摘要

目的

本研究旨在验证乳腺癌治疗在有严重心脏合并症人群中的疗效及其心脏毒性。

材料与方法

对48例患者进行前瞻性观察研究。

结果

观察到所有患者超声心动图参数早期/晚期的增加及对血红蛋白水平的依赖性,且报告了糖尿病患者白细胞和胆固醇的情况。患者在治疗过程中左心室直径发生变化。

结论

在有心脏合并症的乳腺癌患者中使用潜在心脏毒性化疗方案,并相应地优化心脏治疗,可使患者避免化疗诱导的早期心肌功能障碍的发生——将风险降至最低的限制因素是优化血脂水平、红细胞计数和血小板计数。

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