Gent David G, Rebecca Dobson
Liverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Heart and Chest Hospital Liverpool, UK.
Eur Cardiol. 2023 Apr 21;18:e16. doi: 10.15420/ecr.2022.63. eCollection 2023.
The expansion of the therapeutic armamentarium available to oncologists and haematologists has led to a significant improvement in cancer survival; however, many of the available treatments carry a risk of toxicity to the heart. Cardio-oncology has emerged as a rapidly developing subspeciality dedicated to improving the cardiovascular care of patients before, during and after cancer treatment. The 2022 European Society of Cardiology guidelines on cardio-oncology provide a comprehensive overview of best-practice recommendations for cardiovascular care aimed at healthcare professionals treating cancer patients. The main focus of the guidelines is to ensure patients can complete their cancer treatment without significant cardiotoxicity and the correct follow-up for the first 12 months following treatment and beyond is instituted. The guidelines provide harmonisation of baseline risk stratification and toxicity definitions and encompass recommendations for all the major classes of therapy used in modern oncology and haematology. This review summarises the key points from the guidelines document.
肿瘤学家和血液学家可使用的治疗手段不断扩充,使得癌症患者的生存率有了显著提高;然而,许多现有治疗方法都存在心脏毒性风险。心脏肿瘤学已成为一个快速发展的亚专业,致力于改善癌症治疗前、治疗期间和治疗后患者的心血管护理。2022年欧洲心脏病学会心脏肿瘤学指南全面概述了针对治疗癌症患者的医疗保健专业人员的心血管护理最佳实践建议。该指南的主要重点是确保患者能够在无明显心脏毒性的情况下完成癌症治疗,并在治疗后的头12个月及以后进行正确的随访。该指南统一了基线风险分层和毒性定义,涵盖了现代肿瘤学和血液学中使用的所有主要治疗类别的建议。本综述总结了该指南文件的要点。