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Diagnosis Treatment and Prevention of Cardiovascular Toxicity Related to Anti-Cancer Treatment in Clinical Practice: An Opinion Paper from the Working Group on Cardio-Oncology of the Korean Society of Echocardiography

机译:临床实践中与抗癌治疗相关的心血管毒性的诊断治疗和预防:韩国超声心动图学会心血管内科工作组的意见书

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摘要

Cardiovascular (CV) toxicity associated with anti-cancer treatment is commonly encountered and raises critical problems that often result in serious morbidity or mortality. Most cardiac toxicities are related to the cumulative dose of chemotherapy; however, the type of chemotherapy, concomitant agents, and/or conventional CV risk factors have been frequently implicated in CV toxicity. Approximately half of the patients exhibiting CV toxicity receive an anthracycline-based regimen. Therefore, serologic biomarkers or cardiac imagings are important during anti-cancer treatment for early detection and the decision of appropriate management of cardiotoxicity. However, given the difficulty in determining a causal relationship, a multidisciplinary collaborative approach between cardiologists and oncologists is required. In this review, we summarize the CV toxicity and focus on the role of cardiac imaging in management strategies for cardiotoxicity associated with anti-cancer treatment.
机译:与抗癌治疗相关的心血管(CV)毒性通常会遇到,并引起严重的问题,这些问题通常会导致严重的发病或死亡。大多数心脏毒性与化疗的累积剂量有关。然而,化学疗法,伴随药物和/或常规CV危险因素的类型经常与CV毒性有关。表现出CV毒性的患者中约有一半接受基于蒽环类药物的治疗方案。因此,血清学生物标志物或心脏影像学在抗癌治疗过程中对于早期发现和确定适当的心脏毒性治疗很重要。然而,由于难以确定因果关系,因此心脏病专家和肿瘤专家之间需要多学科协作的方法。在这篇综述中,我们总结了CV毒性,并重点研究了心脏成像在与抗癌治疗相关的心脏毒性管理策略中的作用。

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