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动脉高血压和高血压介导的器官损伤在抗癌治疗中心脏毒性中的作用。

Role of Arterial Hypertension and Hypertension-Mediated Organ Damage in Cardiotoxicity of Anticancer Therapies.

机构信息

Division of Cardiology, Department of Clinical and Molecular Medicine, University of Rome Sapienza, Sant'Andrea Hospital, Rome, Italy.

IRCCS San Raffaele Pisana, Rome, Italy.

出版信息

Curr Heart Fail Rep. 2023 Feb;20(1):56-62. doi: 10.1007/s11897-023-00590-5. Epub 2023 Jan 25.

Abstract

PURPOSE OF THE REVIEW

Arterial hypertension (AH) is the most common cardiovascular (CV) risk factor in the community and in oncologic patients. It also represents the most important CV condition predisposing to anticancer treatment-related cardiotoxicity. This risk is heightened in the presence of cardiac AH-mediated organ damage (HMOD). Influence of AH and HMOD on the development of cardiotoxicity will be reviewed, with a focus on specific scenarios and implications for management of oncologic patients.

RECENT FINDINGS

Not adequately controlled AH before or during anticancer treatments and/or development of AH during or after completion of such therapies have detrimental effects on the clinical course of oncologic patients, particularly if HMOD is present. As overlooking CV health can jeopardize the success of anticancer treatments, the goal for clinicians caring for the oncologic patient should include the treatment of AH and HMOD.

摘要

目的综述

动脉高血压(AH)是社区和肿瘤患者中最常见的心血管(CV)危险因素。它也是导致与抗癌治疗相关的心脏毒性的最重要的 CV 疾病。在存在 AH 介导的器官损伤(HMOD)的情况下,这种风险会增加。本文将综述 AH 和 HMOD 对心脏毒性发展的影响,重点关注特定情况及其对肿瘤患者管理的影响。

最近的发现

在抗癌治疗之前或期间未得到充分控制的 AH,和/或在完成这些治疗期间或之后出现 AH,对肿瘤患者的临床病程有不利影响,特别是如果存在 HMOD。由于忽视 CV 健康可能会危及抗癌治疗的成功,因此,照顾肿瘤患者的临床医生的目标应包括 AH 和 HMOD 的治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af14/9977700/f44f190fe837/11897_2023_590_Fig1_HTML.jpg

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