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乳腺癌与心房颤动的流行病学、危险因素及机制

Epidemiology, risk factors and mechanism of breast cancer and atrial fibrillation.

作者信息

Guo Xiaoxue, Zuo Zheng, Wang Xishu, Sun Ying, Xu Dongyang, Liu Guanghui, Tong Yi, Zhang Zhiguo

机构信息

Department of Cardiology, The First Hospital of Jilin University, No.1 Xinmin Street, Changchun, 130021, Jilin Province, China.

出版信息

Cardiooncology. 2024 Dec 23;10(1):92. doi: 10.1186/s40959-024-00298-y.

Abstract

Cancer and cardiovascular diseases are leading causes of death worldwide. Among them, breast cancer is one of the most common malignancies in women, while atrial fibrillation is one of the most extensively studied arrhythmias, with significant public health implications. As the global population ages and advancements in cancer treatments continue, the survival rates of breast cancer patients have significantly improved, leading to an increasing coexistence of breast cancer and atrial fibrillation. However, the mechanisms underlying this coexistence remain insufficiently studied, and there is no consensus on the optimal treatment strategies for these patients. This review consolidates existing research to systematically explore the epidemiological characteristics, risk factors, and pathophysiological mechanisms of both breast cancer and atrial fibrillation. It focuses on the unique signaling pathways associated with different molecular subtypes of breast cancer and their potential impact on the mechanisms of atrial fibrillation. Additionally, the relationship between atrial fibrillation treatment medications and breast cancer is discussed. These insights not only provide essential evidence for the precise prevention and management of atrial fibrillation in breast cancer patients but also lay a solid theoretical foundation for interdisciplinary clinical management practices.

摘要

癌症和心血管疾病是全球主要的死亡原因。其中,乳腺癌是女性中最常见的恶性肿瘤之一,而心房颤动是研究最为广泛的心律失常之一,具有重大的公共卫生意义。随着全球人口老龄化以及癌症治疗的不断进步,乳腺癌患者的生存率显著提高,导致乳腺癌与心房颤动的共存情况日益增多。然而,这种共存背后的机制仍未得到充分研究,对于这些患者的最佳治疗策略也尚无共识。本综述整合现有研究,系统地探讨乳腺癌和心房颤动的流行病学特征、危险因素及病理生理机制。重点关注与乳腺癌不同分子亚型相关的独特信号通路及其对心房颤动机制的潜在影响。此外,还讨论了心房颤动治疗药物与乳腺癌之间的关系。这些见解不仅为乳腺癌患者心房颤动的精准预防和管理提供了重要依据,也为跨学科临床管理实践奠定了坚实的理论基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2903/11665102/89f9bed4fe3e/40959_2024_298_Fig1_HTML.jpg

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