Zhonghua Yi Xue Za Zhi. 2024 Sep 24;104(36):3371-3385. doi: 10.3760/cma.j.cn112137-20240510-01091.
In recent years, the treatment of malignant tumors has continually advanced, significantly extending the survival period of cancer patients. Tumors are increasingly present as chronic diseases over the long term, and the cardiovascular toxicity associated with cancer treatment has become increasingly prominent, severely affecting the effective treatment and survival of cancer patients. As a result, cardio-oncology has gained considerable attention as an emerging discipline. However, cardiovascular diseases in cancer patients often have an insidious onset, and early identification and treatment are frequently overlooked. Throughout the course of cancer treatment, it is crucial to reasonably apply cardiac biomarkers for risk stratification, early identification, and screening of cardiovascular diseases in patients, as well as to improve the early diagnosis and treatment levels of cardiovascular diseases in cancer patients. To this end, Cardio-Oncology Group, Chinese Society of Cardiology in conjunction with Cardiovascular Expert Committee, China Medical Doctor Association of Laboratory Medicine, organized experts in relevant fields to compile this consensus. It aims to provide a basis for clinicians to standardize the screening and management of cardiovascular toxicity related to cancer treatment through the reasonable application of cardiac biomarkers.
近年来,恶性肿瘤的治疗不断进步,显著延长了癌症患者的生存期。肿瘤越来越多地长期表现为慢性疾病,并且与癌症治疗相关的心血管毒性日益突出,严重影响癌症患者的有效治疗和生存。因此,心脏肿瘤学作为一门新兴学科受到了广泛关注。然而,癌症患者的心血管疾病往往起病隐匿,早期识别和治疗常常被忽视。在癌症治疗过程中,合理应用心脏生物标志物对患者进行心血管疾病的风险分层、早期识别和筛查,以及提高癌症患者心血管疾病的早期诊断和治疗水平至关重要。为此,中国心脏学会心脏肿瘤学组联合中国医师协会检验医学分会心血管专家委员会,组织相关领域专家编写了本共识。其目的是通过合理应用心脏生物标志物,为临床医生规范癌症治疗相关心血管毒性的筛查和管理提供依据。