GenesisCare Cardiology, GenesisCare, Building 1 & 11, The Mill, 41-43 Bourke Road, Alexandria, Sydney, NSW, 2015, Australia.
Discipline of Medicine, School of Medicine, Faculty of Health Sciences, University of Adelaide, Adelaide, South Australia, 5000, Australia.
Curr Treat Options Oncol. 2021 Oct 21;22(12):107. doi: 10.1007/s11864-021-00908-2.
There is significant interplay between cancer and cardiovascular disease involving shared risk factors, cross disease communication where cardiovascular events can influence cancer recurrence, and mortality rates and cardiotoxicity from cancer treatments with resultant increased cardiovascular mortality and morbidity in cancer patients. This is a major cause of death in many long-term cancer survivors. As a result, cardio-oncology, which involves the prevention, early detection, and optimal treatment of cardiovascular disease in patients treated for cancer, is expanding globally. However, there is still limited awareness of its importance and limited application of the lessons already learnt. Primary care physicians, and their clinical teams, especially nursing colleagues, have a foundation role in the management of all patients, and this paper outlines areas where they can lead in the cardio-oncology management of cancer patients. Although there is currently a lack of an adequate clinical framework or shared care plan, primary care physicians have a role to play in the various phases of cancer treatment: pre-therapy, during therapy, and survivorship.
癌症和心血管疾病之间存在着显著的相互作用，涉及共同的风险因素、交叉疾病的交流，心血管事件会影响癌症的复发和死亡率，以及癌症治疗的心脏毒性，导致癌症患者的心血管死亡率和发病率增加。这是许多长期癌症幸存者的主要死亡原因。因此，全球范围内的肿瘤心脏病学正在不断发展，其涉及预防、早期发现和癌症治疗患者心血管疾病的最佳治疗。然而，人们对其重要性的认识仍然有限，已经学到的经验教训的应用也有限。初级保健医生及其临床团队，尤其是护理同事，在所有患者的管理中都发挥着基础作用，本文概述了他们在癌症患者的肿瘤心脏病学管理中可以发挥主导作用的领域。尽管目前缺乏足够的临床框架或共同护理计划，但初级保健医生在癌症治疗的各个阶段都有作用：治疗前、治疗期间和生存期间。
