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心脏肿瘤学中心脏毒性诊断、预防及治疗方面的性别差异

Gender Differences in Diagnosis, Prevention, and Treatment of Cardiotoxicity in Cardio-Oncology.

作者信息

Simek Shawn, Lue Brian, Rao Anjali, Ravipati Goutham, Vallabhaneni Srilakshmi, Zhang Kathleen, Zaha Vlad G, Chandra Alvin

机构信息

Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX 75390, USA.

Division of Cardiology, Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX 75390, USA.

出版信息

J Clin Med. 2022 Sep 1;11(17):5167. doi: 10.3390/jcm11175167.

Abstract

Gender differences exist throughout the medical field and significant progress has been made in understanding the effects of gender in many aspects of healthcare. The field of cardio-oncology is diverse and dynamic with new oncologic and cardiovascular therapies approved each year; however, there is limited knowledge regarding the effects of gender within cardio-oncology, particularly the impact of gender on cardiotoxicities. The relationship between gender and cardio-oncology is unique in that gender likely affects not only the biological underpinnings of cancer susceptibility, but also the response to both oncologic and cardiovascular therapies. Furthermore, gender has significant socioeconomic and psychosocial implications which may impact cancer and cardiovascular risk factor profiles, cancer susceptibility, and the delivery of healthcare. In this review, we summarize the effects of gender on susceptibility of cancer, response to cardiovascular and cancer therapies, delivery of healthcare, and highlight the need for further gender specific studies regarding the cardiovascular effects of current and future oncological treatments.

摘要

性别差异存在于整个医学领域,在理解性别对医疗保健诸多方面的影响方面已经取得了重大进展。心脏肿瘤学领域多样且充满活力,每年都有新的肿瘤学和心血管治疗方法获批;然而,关于性别在心脏肿瘤学中的影响,尤其是性别对心脏毒性的影响,相关知识有限。性别与心脏肿瘤学之间的关系独特之处在于,性别可能不仅影响癌症易感性的生物学基础,还影响对肿瘤学和心血管治疗的反应。此外,性别具有重大的社会经济和心理社会影响,这可能会影响癌症和心血管危险因素概况、癌症易感性以及医疗保健的提供。在本综述中,我们总结了性别对癌症易感性、对心血管和癌症治疗的反应、医疗保健提供的影响,并强调需要针对当前和未来肿瘤治疗的心血管影响开展更多特定性别的研究。

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