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日本癌症患者中心血管疾病即将流行。

The Impending Epidemic of Cardiovascular Diseases in Patients With Cancer in Japan.

机构信息

Department of Onco-cardiology, Niigata Cancer Center Hospital.

Department of Cardiovascular Biology and Medicine, Niigata University Graduate School of Medical and Dental Sciences.

出版信息

Circ J. 2019 Oct 25;83(11):2191-2202. doi: 10.1253/circj.CJ-19-0426. Epub 2019 Sep 18.

Abstract

Onco-cardiology, a new academic field, aims to improve the quality of life and prognosis of cancer patients and survivors with cardiovascular diseases (CVD). With the aging of the population, an epidemic of cancer with CVD is emerging in developed countries. Cancer and CVD share risk factors, pathophysiology, treatments, and preventive and rehabilitative measures. A multidisciplinary team-based approach is needed to support cancer treatment to maximize its effectiveness and minimize its cardiotoxic potential. Basic and clinical onco-cardiology are already being practiced harmoniously. However, systematization in academia and clinical practice and accumulation of evidence have just started. In this review, we present the epidemiology, common risk factors between cancer and CVD, future epidemic of CVD in patients with cancer, and the necessity for an onco-cardiological approach to managing the burden of CVD in cancer patients and survivors.

摘要

肿瘤心脏病学是一个新的学术领域,旨在提高患有心血管疾病 (CVD) 的癌症患者和幸存者的生活质量和预后。随着人口老龄化,癌症合并 CVD 在发达国家已呈流行趋势。癌症和 CVD 具有共同的危险因素、病理生理学、治疗方法以及预防和康复措施。需要采用多学科团队方法来支持癌症治疗,以最大限度地提高其疗效并最大限度地降低其心脏毒性的潜在风险。基础和临床肿瘤心脏病学已经和谐地发展起来。然而,学术和临床实践的系统化以及证据的积累才刚刚开始。在这篇综述中,我们介绍了癌症和 CVD 的流行病学、共同危险因素、癌症患者 CVD 的未来流行情况,以及采用肿瘤心脏病学方法来管理癌症患者和幸存者 CVD 负担的必要性。

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