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心血管肿瘤学中的心律失常挑战:高风险治疗、管理和抗凝。

Arrhythmia Challenges in Cardio-Oncology: High-Risk Therapies, Management, and Anticoagulation.

机构信息

Cardio-oncology Program, The Ohio State University Wexner Medical Center, Columbus, OH, USA; Department of Internal Medicine, The Ohio State University, Columbus, OH, USA.

Cardio-oncology Program, The Ohio State University Wexner Medical Center, Columbus, OH, USA; Division of Cardiovascular Medicine, The Ohio State University, Columbus, OH, USA.

出版信息

Cardiol Clin. 2025 Feb;43(1):43-56. doi: 10.1016/j.ccl.2024.09.001. Epub 2024 Oct 5.

Abstract

Cardiovascular disease and cancer are the leading cause of mortality in the United States. In 2021, there were 695,547 and 605,213 deaths due to heart disease and cancer, respectively. With novel oncologic and cardiac therapies, survival has improved leading to increased life-expectancy albeit with chronic illness burden. Arrhythmia management in patients with cancer, whether active or in remission, can be quite challenging. In this review, we will discuss high-risk oncological therapies, prevention, and management of Atrial fibrillation, Ventricular Arrhythmias, and Bradyarrhythmias.

摘要

心血管疾病和癌症是美国的主要死亡原因。2021 年,心脏病和癌症分别导致 695547 人和 605213 人死亡。随着新型肿瘤学和心脏病治疗方法的出现,患者的生存率得到了提高,从而延长了预期寿命,但也带来了慢性疾病负担。无论是癌症活动期还是缓解期,心律失常的管理对癌症患者来说都是极具挑战性的。在这篇综述中,我们将讨论高危肿瘤治疗方法,心房颤动、室性心律失常和缓慢性心律失常的预防和管理。

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