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心脏肿瘤学连续统一体:弥合癌症与心血管护理之间的差距。

The cardio-oncology continuum: Bridging the gap between cancer and cardiovascular care.

作者信息

Shaik Tanveer, Bhavsar Jill, Garg Shreya, Gupta Vasu, Kanagala Sai Gautham, Jain Rohit

机构信息

Avalon University School of Medicine, Willemstad, Curacao.

Government Medical College Baroda, Gujarat, India.

出版信息

Glob Cardiol Sci Pract. 2024 Jan 3;2024(1):e202409. doi: 10.21542/gcsp.2024.9.

DOI:10.21542/gcsp.2024.9
PMID:38404658
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10886845/
Abstract

Cancer and cardiovascular disease are two of the leading causes of death worldwide. Although cancer has historically been viewed as a condition characterized by abnormal cell growth and proliferation, it is now recognized that cancer can lead to a variety of cardiovascular diseases. This is due to the direct impact of cancer on the heart and blood vessels, which can cause myocarditis, pericarditis, and vasculitis. Additionally, cancer patients frequently experience systemic effects such as oxidative stress, inflammation, and metabolic dysregulation, which can contribute to the development of cardiovascular risk factors such as hypertension, dyslipidemia, and insulin resistance. It is important to closely monitor patients with cancer, especially those undergoing chemotherapy or radiation therapy, for cardiovascular risk factors and promptly address them. This article aims to explore the clinical implications of the underlying mechanisms connecting cancer and cardiovascular diseases. Our analysis highlights the need for improved cooperation between oncologists and cardiologists, and specialized treatment for cancer survivors.

摘要

癌症和心血管疾病是全球两大主要死因。尽管癌症在历史上一直被视为一种以异常细胞生长和增殖为特征的病症,但现在人们认识到癌症会引发多种心血管疾病。这是由于癌症对心脏和血管的直接影响,可导致心肌炎、心包炎和血管炎。此外,癌症患者经常会出现氧化应激、炎症和代谢失调等全身效应,这些都可能促使高血压、血脂异常和胰岛素抵抗等心血管危险因素的形成。密切监测癌症患者,尤其是正在接受化疗或放疗的患者的心血管危险因素并及时加以处理非常重要。本文旨在探讨将癌症与心血管疾病联系起来的潜在机制的临床意义。我们的分析强调了肿瘤学家和心脏病学家加强合作以及对癌症幸存者进行专门治疗的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbc1/10886845/60f4ad966b49/gcsp-2024-1-e202409-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbc1/10886845/4e7fbf9e656d/gcsp-2024-1-e202409-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbc1/10886845/60f4ad966b49/gcsp-2024-1-e202409-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbc1/10886845/4e7fbf9e656d/gcsp-2024-1-e202409-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbc1/10886845/60f4ad966b49/gcsp-2024-1-e202409-g002.jpg

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本文引用的文献

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Cardiooncology. 2023 Mar 27;9(1):16. doi: 10.1186/s40959-023-00167-0.
2
Cardiovascular-Specific Mortality among Gastrointestinal Stromal Tumor Patients: A Population-Based Analysis.胃肠道间质瘤患者心血管特异性死亡率:基于人群的分析。
Oxid Med Cell Longev. 2023 Feb 14;2023:3619306. doi: 10.1155/2023/3619306. eCollection 2023.
3
Cancer Therapy-Related Hypertension: A Scientific Statement From the American Heart Association.
癌症治疗相关高血压:美国心脏协会的科学声明。
Hypertension. 2023 Mar;80(3):e46-e57. doi: 10.1161/HYP.0000000000000224. Epub 2023 Jan 9.
4
Preventive Nutrition: Heart Disease and Cancer.预防营养:心脏病与癌症。
Med Clin North Am. 2022 Sep;106(5):767-784. doi: 10.1016/j.mcna.2022.06.001. Epub 2022 Aug 26.
5
Risk of Cardiovascular Disease in Women With and Without Breast Cancer: The Pathways Heart Study.有乳腺癌和无乳腺癌女性的心血管疾病风险:Pathways Heart 研究。
J Clin Oncol. 2022 May 20;40(15):1647-1658. doi: 10.1200/JCO.21.01736. Epub 2022 Apr 6.
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Curr Oncol Rep. 2022 Apr;24(4):463-474. doi: 10.1007/s11912-022-01224-0. Epub 2022 Feb 18.
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