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肿瘤相关性高血压的现状与未来展望

Current Status and Future Perspective of Onco-Hypertension.

作者信息

Azegami Tatsuhiko, Kaneko Hidehiro, Minegishi Shintaro, Suzuki Yuta, Morita Hiroyuki, Fujiu Katsuhito, Takeda Norihiko, Yokoo Takashi, Yano Yuichiro, Hayashi Kaori, Nishiyama Akira, Node Koichi

机构信息

Division of Endocrinology, Metabolism and Nephrology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan.

Department of Cardiovascular Medicine, The University of Tokyo, Tokyo, Japan.

出版信息

Am J Hypertens. 2024 Dec 16;38(1):1-6. doi: 10.1093/ajh/hpae099.

DOI:10.1093/ajh/hpae099
PMID:39078615
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11646863/
Abstract

BACKGROUND

Hypertension and cancer are both increasing with age. Recently, the new concept of "Onco-Hypertension" has been proposed to address the mutual risks posed by hypertension and cancer and to provide comprehensive care for patients with these two conditions in an aging society.

METHODS

In this review, we provide an overview of the current status and future perspective of the "Onco-Hypertension," including our research findings.

RESULTS

Hypertension and cancer share common risk factors and may be interrelated in pathogenesis: Hypertension is involved in the development of certain cancers, and cancer survivors have a higher incidence of hypertension. With recent advances in cancer therapy, the number of cancer survivors has increased. Cancer survivors not only have a higher risk of incident hypertension but also an increased risk of future cardiovascular events, highlighting the growing importance of comprehensive care.

CONCLUSIONS

There exists a diverse array of epidemiological and pathophysiological relationships between hypertension and cancer. It is imperative to move the emerging scientific field of "Onco-Hypertension" forward through relentless research efforts.

摘要

背景

高血压和癌症的发病率均随年龄增长而上升。最近,“肿瘤高血压”这一新概念被提出,以应对高血压和癌症带来的相互风险,并为老龄化社会中患有这两种疾病的患者提供全面护理。

方法

在本综述中,我们概述了“肿瘤高血压”的现状和未来前景,包括我们的研究结果。

结果

高血压和癌症有共同的风险因素,且在发病机制上可能相互关联:高血压参与某些癌症的发生发展,癌症幸存者患高血压的几率更高。随着癌症治疗的最新进展,癌症幸存者的数量有所增加。癌症幸存者不仅发生高血压的风险更高,未来发生心血管事件的风险也增加,这凸显了全面护理的重要性日益增加。

结论

高血压和癌症之间存在多种流行病学和病理生理学关系。必须通过不懈的研究努力推动新兴的“肿瘤高血压”科学领域向前发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/beee/11646863/c01743bb4e4a/hpae099_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/beee/11646863/c01743bb4e4a/hpae099_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/beee/11646863/c01743bb4e4a/hpae099_fig1.jpg

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Causes of death among people living with metastatic cancer.转移性癌症患者的死因
Nat Commun. 2024 Feb 19;15(1):1519. doi: 10.1038/s41467-024-45307-x.
3
Association of Cancer and Its Interaction with Conventional Risk Factors on Cardiovascular Disease Risk.癌症与心血管疾病风险及其与传统危险因素的相互关系。
Oncology. 2024;102(9):775-784. doi: 10.1159/000536449. Epub 2024 Jan 25.
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Effect of Intensive Blood Pressure Control on Cardiovascular Outcomes in Cancer Survivors.强化血压控制对癌症幸存者心血管结局的影响。
Hypertension. 2024 Mar;81(3):620-628. doi: 10.1161/HYPERTENSIONAHA.123.22194. Epub 2024 Jan 2.
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Alcohol Intake and Blood Pressure Levels: A Dose-Response Meta-Analysis of Nonexperimental Cohort Studies.饮酒与血压水平:非实验性队列研究的剂量反应荟萃分析。
Hypertension. 2023 Oct;80(10):1961-1969. doi: 10.1161/HYPERTENSIONAHA.123.21224. Epub 2023 Jul 31.
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Skin Cancer and Hydrochlorothiazide: Novel Population-Based Analyses Considering Personal Risk Factors Including Race/Ethnicity.皮肤癌与氢氯噻嗪:考虑种族/民族等个人风险因素的新型基于人群的分析。
Hypertension. 2023 Oct;80(10):2218-2225. doi: 10.1161/HYPERTENSIONAHA.123.21274. Epub 2023 Jul 25.
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