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癌症作为心力衰竭的个体风险因素:文献综述

Cancer as an Individual Risk Factor for Heart Failure: A Review of Literature.

作者信息

Rivera Boadla Marlon E, Sharma Nava R, Khan Muhammad H, Khurana Sakshi, Gulati Amit, Tan Samuel, Sharma Anupam, Hooda Amit, K C Prabal

机构信息

Internal Medicine, Maimonides Medical Center, New York, USA.

Medicine, Manipal College of Medical Science, Pokhara, NPL.

出版信息

Cureus. 2024 May 19;16(5):e60592. doi: 10.7759/cureus.60592. eCollection 2024 May.

Abstract

The intricate relationship between cancer and cardiovascular diseases (CVD), notably heart failure (HF), is gaining attention in the medical field. This literature review explores the intricate interplay between cancer and CVD, particularly HF, emphasizing their significant impact on global mortality and comorbidity. While preventive measures have contributed to reducing their incidence, challenges persist in predicting and managing cancer-related complications. This review article delves into various risk factors associated with both cancer and HF, including lifestyle factors, genetic predispositions, and immune system dysregulation. It highlights emerging evidence suggesting a direct interaction between cancer and HF, with studies indicating an elevated risk of mortality from cancer in patients with HF and vice versa. Pathological mechanisms such as inflammation, oxidative stress, and tissue hypoxia are implicated in cancer-induced cardiac dysfunction, underscoring the need for comprehensive clinical investigations and ethical considerations in patient care. The review also discusses the potential role of biomarkers in risk assessment, early detection of cardiotoxicity, and understanding common pathophysiological links between cancer and HF, paving the way for multifaceted preventive and therapeutic approaches.

摘要

癌症与心血管疾病(CVD),尤其是心力衰竭(HF)之间的复杂关系,正在医学领域引起关注。这篇文献综述探讨了癌症与心血管疾病,特别是心力衰竭之间的复杂相互作用,强调了它们对全球死亡率和合并症的重大影响。虽然预防措施有助于降低它们的发病率,但在预测和管理癌症相关并发症方面仍存在挑战。这篇综述文章深入探讨了与癌症和心力衰竭相关的各种风险因素,包括生活方式因素、遗传易感性和免疫系统失调。它强调了新出现的证据,表明癌症与心力衰竭之间存在直接相互作用,研究表明心力衰竭患者患癌症死亡的风险升高,反之亦然。炎症、氧化应激和组织缺氧等病理机制与癌症引起的心脏功能障碍有关,这突出了在患者护理中进行全面临床研究和伦理考量的必要性。该综述还讨论了生物标志物在风险评估、心脏毒性早期检测以及理解癌症与心力衰竭之间常见病理生理联系方面的潜在作用,为多方面的预防和治疗方法铺平了道路。

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