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心血管肿瘤学:初级保健提供者实用指南。

Cardio-Oncology for the Primary Care Provider.

机构信息

Department of Internal Medicine, Mayo Clinic, Jacksonville, FL 32224.

Department of Cardiovascular Diseases, Mayo Clinic, Jacksonville, FL 32224.

出版信息

Rom J Intern Med. 2023 May 30;61(3):127-134. doi: 10.2478/rjim-2023-0012. Print 2023 Sep 1.

Abstract

Cardiovascular disease is a major cause of mortality among oncologic patients. As cancer therapies continue to evolve and advance, cancer survival rates have been increasing and so has the burden of cardiovascular disease within this population. For this reason, cardio-oncology plays an important role in promoting multidisciplinary care with the primary care provider, oncology, and cardiology. In this review, we discuss the roles of different providers, strategies to monitor patients receiving cardiotoxic therapies, and summarize cancer therapy class-specific toxicities. Continued collaboration among providers and ongoing research related to cardiotoxic cancer therapies will enable patients to receive maximal, evidence-based, comprehensive care.

摘要

心血管疾病是肿瘤患者死亡的主要原因之一。随着癌症治疗方法的不断发展和进步,癌症的存活率一直在提高,而这一人群中心血管疾病的负担也在增加。因此,肿瘤心脏病学在促进与初级保健提供者、肿瘤学和心脏病学的多学科护理方面发挥着重要作用。在这篇综述中,我们讨论了不同提供者的作用、监测接受心脏毒性治疗的患者的策略,并总结了癌症治疗类别特异性毒性。提供者之间的持续合作以及与心脏毒性癌症治疗相关的持续研究将使患者能够接受最大程度的、基于证据的、全面的护理。

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