[The reaction of the heart to radiation. I. State of the knowledge based on animal experimental studies].

Radiobiologia, radiotherapia Pub Date : 1990-01-01
K Adler, K Neumeister, D Fröhlich
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Abstract

The aim of curative tumor therapy is healing without complications. Therefore the avoidance of undesirable side-effects in healthy tissue becomes more important to such a degree as the lifespan can be prolonged by therapy: In this review the experiences to cardiac reactions by ionizing radiations are represented from experiments on animals. The former conception of a marked radioresistance of the heart has to be revised to the hitherto presented investigations. Acute inflammatory reactions and late, often progressive alterations can develop in the heart like in other normal tissue. These late-effects especially are reflected at pericardium, myocardium and vessel system (microvessel system and coronaries) and not rarely cause functional injuries of the tissue. Actual investigations give special attention to pathogenesis of acute radioreaction. It is supposed that their explanation gives a better understanding for the process of independence and progress and with that a possibility for prophylactic or therapeutic measures.

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心脏对辐射的反应(一)基于动物实验研究的知识现状。
根治性肿瘤治疗的目的是无并发症的愈合。因此,在健康组织中避免不良副作用变得更加重要,因为治疗可以延长寿命。本文综述了电离辐射引起心脏反应的动物实验经验。以前关于心脏有明显的辐射抗性的概念,必须根据迄今为止的研究加以修正。像其他正常组织一样,心脏也会发生急性炎症反应和晚期的、通常是进行性的改变。这些迟发效应尤其反映在心包、心肌和血管系统(微血管系统和冠状动脉),并很少引起组织的功能性损伤。实际调查特别注意急性放射反应的发病机制。据推测,他们的解释可以更好地理解独立和进步的过程,从而有可能采取预防或治疗措施。
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