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血液系统恶性肿瘤中的应用心脏肿瘤学:一项叙述性综述

Applied Cardio-Oncology in Hematological Malignancies: A Narrative Review.

作者信息

Mandala Evdokia, Lafara Kyranna, Kokkinovasilis Dimitrios, Kalafatis Ioannis, Koukoulitsa Vasiliki, Katodritou Eirini, Lafaras Christos

机构信息

Division of Hematology, Forth Department of Medicine, School of Medicine, Aristotle University of Thessaloniki, 54642 Thessaloniki, Greece.

Cardiology-Oncology Unit, Theagenion Cancer Hospital, 54639 Thessaloniki, Greece.

出版信息

Life (Basel). 2024 Apr 18;14(4):524. doi: 10.3390/life14040524.

Abstract

Applied cardio-oncology in hematological malignancies refers to the integration of cardiovascular care and management for patients with blood cancer, particularly leukemia, lymphoma, and multiple myeloma. Hematological cancer therapy-related cardiotoxicity deals with the most common cardiovascular complications of conventional chemotherapy, targeted therapy, immunotherapy, chimeric antigen receptor T (CAR-T) cell and tumor-infiltrating lymphocyte therapies, bispecific antibodies, and hematopoietic stem cell transplantation. This narrative review focuses on hematological cancer-therapy-related cardiotoxicity's definition, risk stratification, multimodality imaging, and use of cardiac biomarkers to detect clinical and/or subclinical myocardial dysfunction and electrical instability. Moreover, the most common cardiotoxic profiles of the main drugs and/or therapeutic interventions in patients with hematological malignancies are described thoroughly.

摘要

血液系统恶性肿瘤中的应用心脏肿瘤学是指为血癌患者,特别是白血病、淋巴瘤和多发性骨髓瘤患者提供心血管护理与管理的整合。血液系统癌症治疗相关的心脏毒性涉及传统化疗、靶向治疗、免疫治疗、嵌合抗原受体T(CAR-T)细胞和肿瘤浸润淋巴细胞疗法、双特异性抗体以及造血干细胞移植最常见的心血管并发症。本叙述性综述重点关注血液系统癌症治疗相关心脏毒性的定义、风险分层、多模态成像以及使用心脏生物标志物检测临床和/或亚临床心肌功能障碍及电不稳定。此外,还详细描述了血液系统恶性肿瘤患者主要药物和/或治疗干预措施最常见的心脏毒性特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c09d/11050930/2cb21ac10e4d/life-14-00524-g001.jpg

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