Physiopathology and diagnosis of cardiotoxicity in patients submitted to chemotherapy treatment.

IF 3.1 Q2 ONCOLOGY Oncology Reviews Pub Date : 2019-02-01 eCollection Date: 2019-01-14 DOI:10.4081/oncol.2019.383
Filipe C Marmelo, Cátia F R Sá
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Abstract

Cardiovascular diseases and neoplastic diseases are the two main causes of morbidity and mortality in the world. Treated cancer patients usually develop cardiac diseases late in life due to chemotherapy- induced heart damage. The type of damage caused to the heart depends on the type of agent used during cancer treatment. It is expectable to observe ventricular impairment in patients treated with anthracyclines, while pyrimidines and some signalling inhibitors may damage the coronary circulation. Several techniques can be used to help diagnose early cardiac affections, such as biomarkers and auxiliary diagnostic tests. The information obtained can help physicians adjust chemotherapy doses, thus avoiding unnecessary heart damage. Although there is not yet a broad offer of cardioprotective drugs specific to these cases, some pharmacological agents used in common cardiology can also be applied here, such as beta-blockers and angiotensinogen- converting enzyme inhibitors.

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接受化疗的患者的生理病理和心脏毒性诊断。
心血管疾病和肿瘤性疾病是世界上发病率和死亡率的两个主要原因。接受治疗的癌症患者通常在生命后期因化疗引起的心脏损伤而患上心脏病。对心脏造成的损害类型取决于癌症治疗过程中使用的药物类型。在蒽环类药物治疗的患者中可以观察到心室损伤,而嘧啶和一些信号抑制剂可能会损害冠状动脉循环。有几种技术可以用来帮助诊断早期心脏病,如生物标志物和辅助诊断测试。获得的信息可以帮助医生调整化疗剂量,从而避免不必要的心脏损伤。尽管目前还没有针对这些病例的广泛的心脏保护药物,但一些用于普通心脏病学的药物也可以应用于此,如β受体阻滞剂和血管紧张素原转换酶抑制剂。
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来源期刊
Oncology Reviews
Oncology Reviews ONCOLOGY-
CiteScore
6.30
自引率
0.00%
发文量
9
审稿时长
9 weeks
期刊介绍: Oncology Reviews is a quarterly peer-reviewed, international journal that publishes authoritative state-of-the-art reviews on preclinical and clinical aspects of oncology. The journal will provide up-to-date information on the latest achievements in different fields of oncology for both practising clinicians and basic researchers. Oncology Reviews aims at being international in scope and readership, as reflected also by its Editorial Board, gathering the world leading experts in both pre-clinical research and everyday clinical practice. The journal is open for publication of supplements, monothematic issues and for publishing abstracts of scientific meetings; conditions can be obtained from the Editor-in-Chief or the publisher.
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