Alshahrani Ali A, Kontopantelis Evangelos, Morgan Catharine, Ravindrarajah Rathi, Martin Glen P, Mamas Mamas A
Faculty of Biology, Medicine and Health, School of Health Sciences, University of Manchester, Manchester M13 9QQ, United Kingdom.
Department of Invasive Cardiovascular Technology, College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Riyadh 3129, Saudi Arabia.
Chin Med J (Engl). 2025 Jan 20;138(2):143-154. doi: 10.1097/CM9.0000000000003419. Epub 2024 Dec 23.
This article provides an overview of the current evidence on the epidemiology, overlapping risk factors, and pathophysiology of cardiovascular disease (CVD) in patients with cancer. It explores the cardiotoxic effects of anticancer therapy and their impact on prognosis. Although cancer survival rates have improved over the last two decades, the risk of CVD has risen over time in patients with cancer. CVD and cancer share similar risk factors and a common pathophysiology involving inflammation. Many chemotherapeutic agents used to treat cancer are associated with cardiovascular complications (such as heart failure, myocardial infarction, and thrombosis). Current evidence indicates a significant burden of CVD in patients with cancer, particularly in the first year following cancer diagnosis, with elevated risk persisting beyond this period. This short- and long-term risk of CVD may vary depending on the cancer type and treatment regimen. Early identification of potential cardiovascular risk in patients with cancer, can lead to more favorable clinical and survival outcomes. Given the acute and long-term consequences, patients with cancer require increased cardiovascular care and lifestyle optimization. This article offers valuable insights into the cardiovascular burden and needs of patients with cancer. It is intended for a general medical research readership interested in the intersection of cardiology and oncology.
本文概述了目前关于癌症患者心血管疾病(CVD)的流行病学、重叠风险因素和病理生理学的证据。探讨了抗癌治疗的心脏毒性作用及其对预后的影响。尽管在过去二十年中癌症生存率有所提高,但癌症患者发生CVD的风险却随着时间的推移而上升。CVD和癌症具有相似的风险因素以及涉及炎症的共同病理生理学。许多用于治疗癌症的化疗药物都与心血管并发症(如心力衰竭、心肌梗死和血栓形成)相关。目前的证据表明,癌症患者中CVD负担很重,尤其是在癌症诊断后的第一年,在此之后风险仍持续升高。CVD的这种短期和长期风险可能因癌症类型和治疗方案而异。早期识别癌症患者潜在的心血管风险,可带来更有利的临床和生存结局。鉴于急性和长期后果,癌症患者需要更多的心血管护理和生活方式优化。本文为癌症患者的心血管负担和需求提供了有价值的见解。它面向对心脏病学和肿瘤学交叉领域感兴趣的普通医学研究读者。