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成人急性髓系白血病中的心脏毒性:一项范围界定研究。

Cardiotoxicity in Acute Myeloid Leukemia in Adults: A Scoping Study.

作者信息

Konstantinidis Ioannis, Tsokkou Sophia, Grigoriadis Savvas, Chrysavgi Lalayianni, Gavriilaki Eleni

机构信息

2nd Propaedeutic Department of Internal Medicine, Ippokratio University Hospital, Department of Medicine, Faculty of Health and Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.

Research Team "Histologistas", Interinstitutional Postgraduate Program "Health and Environmental Factors", Department of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.

出版信息

Cancers (Basel). 2024 Jul 6;16(13):2474. doi: 10.3390/cancers16132474.

Abstract

According to the National Cancer Institute of the NIH, acute myeloid leukemia (AML) is a rapidly growing cancer with a large quantity of myeloblasts. AML is most often observed in adults over the age of 35, accounting for 1% of all cancer types. In 2023, the number of new cases being reported was estimated to reach around 20,380 in total and the rate of mortality in the same year was 1.9%, or 11,310 cases, in the US. This scoping study aims to extensively assess and explore the degree of cardiotoxicity in patients with AML that can be caused due to pharmaceutical treatments prescribed by hematologists. This is achieved by performing extensive searches of different scientific databases including PubMed, Scopus, and ScienceDirect. A variety of options are available that are summarized in tables included herein, with each having their advantages and risks of adverse effects, among these being cardiotoxicity. Important medications found to play a significant role include gemtuzumab ozogamicin, venetoclax, and vyxeos. It is understandable that being familiar with all the treatment options available and every potential adverse effect is impossible. However, hematologists and, in general, physicians must try to be updated with the most recent information released to improve the quality of life of their patients and minimize the risk of additional complications.

摘要

根据美国国立卫生研究院国家癌症研究所的数据,急性髓系白血病(AML)是一种快速发展的癌症,有大量的成髓细胞。AML最常出现在35岁以上的成年人中,占所有癌症类型的1%。2023年,美国报告的新病例总数估计约为20380例,同年的死亡率为1.9%,即11310例。这项范围界定研究旨在广泛评估和探索AML患者因血液科医生开的药物治疗而可能导致的心脏毒性程度。这是通过对包括PubMed、Scopus和ScienceDirect在内的不同科学数据库进行广泛搜索来实现的。本文表格中总结了多种可用选项,每种选项都有其优点和不良反应风险,其中包括心脏毒性。发现起重要作用的药物包括吉妥珠单抗奥唑米星、维奈克拉和Vyxeos。可以理解的是,熟悉所有可用的治疗选项和每一种潜在的不良反应是不可能的。然而,血液科医生以及一般的医生必须努力了解最新发布的信息,以提高患者的生活质量并将额外并发症的风险降至最低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d83/11240574/9e0115b8a44e/cancers-16-02474-g003.jpg

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