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心血管肿瘤学在 COVID-19 大流行时代及以后。

Cardio-Oncology in the Era of the COVID-19 Pandemic and Beyond.

机构信息

Cardio-Oncology Program Division of Cardiology Department of Internal Medicine The Ohio State University Medical Center Columbus OH.

Division of Cancer Prevention and Control Department of Internal Medicine College of Medicine The Ohio State University Columbus OH.

出版信息

J Am Heart Assoc. 2020 Oct 20;9(19):e017787. doi: 10.1161/JAHA.120.017787. Epub 2020 Jul 27.

Abstract

Coronavirus disease 2019 (COVID-19) has emerged as a global pandemic and public health crisis. Increasing waves of intermittent infectious outbreaks have dramatically influenced care among broad populations. Over the past 2 decades, there has been a rapid increase in cancer survival, with >400 000 new survivors each year. The increasingly common presence of cardiovascular disease in patients during or after cancer treatment led to the rapid growth of the field of cardio-oncology with a mandate of identifying, treating, and preventing the various forms of cardiovascular disease seen among this population. This review evaluates the implications of the pandemic on the practice and study of cardio-oncology. The evolving understanding of the relationship between comorbid disease and clinical outcomes among this population is assessed. With the impetus of the pandemic, cardio-oncology can be deliberate in embracing changes to cardiac screening, monitoring, and intervention during oncology care. Bridging 2 specialties, consideration of the lessons learned in cancer and cardiovascular may pivotally inform ongoing therapeutic efforts. Further, the development of multicenter registries focused on understanding and optimizing outcomes among these patients should be considered. Together, these insights may critically inform strategies for the care of cardio-oncology patients in future phases of the COVID-19 pandemic and beyond.

摘要

新型冠状病毒病(COVID-19)已成为全球性的大流行病和公共卫生危机。一波又一波间歇性的传染病爆发,对广大人群的护理产生了巨大影响。在过去的 20 年中,癌症的存活率迅速提高,每年有超过 40 万名新的幸存者。在癌症治疗期间或之后,心血管疾病在患者中的发病率越来越高,这促使了肿瘤心脏病学领域的快速发展,其任务是识别、治疗和预防这一人群中出现的各种形式的心血管疾病。本综述评估了大流行对肿瘤心脏病学实践和研究的影响。评估了这一人群中合并疾病与临床结局之间关系的不断发展的认识。在大流行的推动下,肿瘤心脏病学可以有意识地接受在肿瘤治疗期间进行心脏筛查、监测和干预方面的改变。考虑到癌症和心血管领域的经验教训,两个专业领域之间的联系,可以为正在进行的治疗工作提供关键信息。此外,还应考虑建立专注于了解和优化这些患者结局的多中心登记处。这些见解可以为未来 COVID-19 大流行的各个阶段以及之后的肿瘤心脏病学患者的护理策略提供重要信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ac3/7792393/012654bcf617/JAH3-9-e017787-g001.jpg

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