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心血管磁共振在肿瘤患者心功能障碍的早期检测和治疗中的作用。

Role of cardiovascular magnetic resonance in early detection and treatment of cardiac dysfunction in oncology patients.

机构信息

Cardiovascular Division, Cardio-Oncology Center of Excellence, Washington University School of Medicine, 660 South Euclid Avenue, Box 8086, St. Louis, MO, 63110-1093, USA.

Department of Cardiology, University Hospital Heidelberg, Heidelberg, Germany.

出版信息

Int J Cardiovasc Imaging. 2021 Oct;37(10):3003-3017. doi: 10.1007/s10554-021-02271-7. Epub 2021 May 12.

DOI:10.1007/s10554-021-02271-7
PMID:33982196
Abstract

The purpose of this review is to provide an overview of the essential role that cardiovascular magnetic resonance (CMR) has in the field of cardio-oncology. Recent findings: CMR has been increasingly used for early identification of cancer therapy related cardiac dysfunction (CTRCD) due to its precision in detecting subtle changes in cardiac function and for myocardial tissue characterization. Summary: CMR is able to identify subclinical CTRCD in patients receiving potentially cardiotoxic chemotherapy and guide initiation of cardio protective therapy. Multiparametric analysis with myocardial strain, tissue characterization play a critical role in understanding important clinical questions in cardio-oncology.

摘要

本文旨在概述心血管磁共振(CMR)在肿瘤心脏病学领域的重要作用。最近的发现:由于 CMR 在检测心脏功能细微变化方面的精确性,以及在心肌组织特征描述方面的优势,它已越来越多地用于早期识别癌症治疗相关的心脏功能障碍(CTRCD)。 总结:CMR 能够在接受潜在心脏毒性化疗的患者中识别亚临床 CTRCD,并指导心脏保护治疗的开始。心肌应变的多参数分析、组织特征描述在理解肿瘤心脏病学中的重要临床问题方面发挥着关键作用。

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本文引用的文献

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Serial Cardiovascular Magnetic Resonance Strain Measurements to Identify Cardiotoxicity in Breast Cancer: Comparison With Echocardiography.连续心血管磁共振应变测量识别乳腺癌心脏毒性:与超声心动图比较。
JACC Cardiovasc Imaging. 2021 May;14(5):962-974. doi: 10.1016/j.jcmg.2020.09.039. Epub 2020 Nov 25.
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Strain-Guided Management of Potentially Cardiotoxic Cancer Therapy.应变引导的潜在心脏毒性癌症治疗管理。
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Coronary and aortic calcification are associated with cardiovascular events on immune checkpoint inhibitor therapy.
泌尿系统癌症患者的心血管疾病负担:泌尿心脏肿瘤学新学科
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Breast Cancer and Therapy-Related Cardiovascular Toxicity.乳腺癌与治疗相关的心血管毒性
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Editor's choice to the October 2021 issue.2021年10月期编辑推荐。
Int J Cardiovasc Imaging. 2021 Oct;37(10):2801-2802. doi: 10.1007/s10554-021-02409-7.
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