张永飞, 崔久嵬. 化疗药物所致心脏毒性的研究进展[J]. 中国肿瘤临床, 2018, 45(24): 1243-1247. DOI: 10.3969/j.issn.1000-8179.2018.24.056
引用本文: 张永飞, 崔久嵬. 化疗药物所致心脏毒性的研究进展[J]. 中国肿瘤临床, 2018, 45(24): 1243-1247. DOI: 10.3969/j.issn.1000-8179.2018.24.056
Zhang Yongfei, Cui Jiuwei. Research progress of cardiotoxicity induced by chemotherapeutic drugs[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2018, 45(24): 1243-1247. DOI: 10.3969/j.issn.1000-8179.2018.24.056
Citation: Zhang Yongfei, Cui Jiuwei. Research progress of cardiotoxicity induced by chemotherapeutic drugs[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2018, 45(24): 1243-1247. DOI: 10.3969/j.issn.1000-8179.2018.24.056

化疗药物所致心脏毒性的研究进展

Research progress of cardiotoxicity induced by chemotherapeutic drugs

  • 摘要: 随着抗肿瘤治疗方法的不断发展以及肿瘤患者预后的改善,化疗药物所致心脏毒性日渐凸显。以蒽环类药物为主的传统化疗药物对心脏产生不同程度直接或间接的损伤,所致心脏毒性的发生甚至在治疗结束后数年,部分新型抗肿瘤药物的出现,使得心脏毒性的发生更加复杂,限制肿瘤患者治疗方案的选择,对其生存及预后也有重要影响。了解化疗药物所致心脏毒性的病理生理机制,风险评估,早期监测系统管理及合理的药物治疗对于减少化疗药物所致心脏毒性的发生和改善肿瘤患者预后十分重要。

     

    Abstract: Following the development of antineoplastic modalities and improvement in the prognosis of patients with cancer, the occurrence of cardiotoxicity induced by chemotherapeutic drugs is increasing. Traditional chemotherapeutic drugs, mainly anthracyclines cause varying degrees of direct or indirect damage to the heart, which may even occur several years after the end of treatment. This issue is becoming more complicated with the emergence of some new antineoplastic drugs. Treatment options for patients with cancer are limited, and these also have an important effect on patient survival and prognosis. Cardio-oncology is a emerging discipline that involves understanding the pathophysiology of cardiotoxicity induced by chemotherapeutic drugs, evaluation of the risks, early detection and systematic management, and optimal drug therapy to reduce the occurrence of cardiotoxicity and to improve the prognosis of patients.

     

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