Feng Tiantian, Guo Zhaoxia, Su Hongling, Zhang Fu, Zhu Hai, Wang Aqian, Jiang Kaiyu, Li Bo
The First Clinical Medical College of Gansu University of Chinese Medicine (Gansu Provincial Hospital), 730000 Lanzhou, Gansu, China.
Department of Cardiology, Pulmonary Vascular Disease Center (PVDC), Gansu Provincial Hospital, 730000 Lanzhou, Gansu, China.
Rev Cardiovasc Med. 2024 Jan 15;25(1):22. doi: 10.31083/j.rcm2501022. eCollection 2024 Jan.
Advances in cancer treatment have increased patient survival rates, shifting clinical focus towards minimizing treatment-related morbidity, including cardiovascular issues. Since echocardiography allows for a comprehensive non-invasive assessment at all cancer stages, it is well suited to monitor cardiovascular disease secondary to oncology treatment. This has earned it significant attention in the study of cardiac tumors and treatment-induced cardiac alterations. Ultrasound methods-ranging from transthoracic and transesophageal echocardiography to ultrasound diagnostic techniques including myocardial strain imaging, myocardial work indices, three-dimensional cardiac imaging-offer a holistic view of both the tumor and its treatment impact cardiac function. Stress echocardiography, myocardial contrast echocardiography, and myocardial acoustic angiography further augment this capability. Together, these echocardiographic techniques provide clinicians with early detection opportunities for cardiac damage, enabling timely interventions. As such, echocardiography continues to be instrumental in monitoring and managing the cardiovascular health of oncology patients, complementing efforts to optimize their overall treatment and survival outcomes.
癌症治疗的进展提高了患者的生存率,临床重点转向将与治疗相关的发病率降至最低,包括心血管问题。由于超声心动图能够在癌症各个阶段进行全面的非侵入性评估,因此非常适合监测肿瘤治疗继发的心血管疾病。这使其在心脏肿瘤和治疗引起的心脏改变的研究中备受关注。超声方法——从经胸和经食管超声心动图到包括心肌应变成像、心肌工作指数、三维心脏成像在内的超声诊断技术——提供了肿瘤及其治疗对心脏功能影响的整体视图。负荷超声心动图、心肌对比超声心动图和心肌声学血管造影进一步增强了这一能力。这些超声心动图技术共同为临床医生提供了心脏损伤的早期检测机会,从而能够及时进行干预。因此,超声心动图在监测和管理肿瘤患者的心血管健康方面仍然发挥着重要作用,辅助优化其整体治疗和生存结果的努力。