Association of Cardiotoxicity With Doxorubicin and Trastuzumab: A Double-Edged Sword in Chemotherapy.

Association of Cardiotoxicity With Doxorubicin and Trastuzumab: A Double-Edged Sword in Chemotherapy.
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阿霉素和曲妥珠单抗与肿瘤毒性的相关性:化疗中的双刃剑。

DOI:
10.7759/cureus.18194
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发表时间:
2021-09
期刊:
Cureus
影响因子:
--
通讯作者:
Kassan M
Kassan M
中科院分区:
其他
文献类型:
--
作者:
Gabani M;Castañeda D;Nguyen QM;Choi SK;Chen C;Mapara A;Kassan A;Gonzalez AA;Khataei T;Ait-Aissa K;Kassan M

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抗癌药物在降低癌症患者死亡率和延长预期寿命方面发挥着重要作用。治疗方法包括单一疗法和/或放射疗法、化疗、激素疗法或免疫疗法的组合。尽管药物开发取得了很大进展,但其中一些治疗方法已被证明会导致心脏毒性,直接影响心脏功能和结构,并加速心血管疾病的发展。这种副作用限制了治疗选择,并可能对疾病管理产生负面影响。因此,在管理癌症患者时,了解导致心脏毒性的机制是至关重要的,以更好地监测心脏功能,制定预防心脏毒性的措施,并在心力衰竭发生时对其进行治疗。本文就主要化疗药物在癌症患者心血管并发症中的作用和作用机制进行综述。
Anticancer drugs play an important role in reducing mortality rates and increasing life expectancy in cancer patients. Treatments include monotherapy and/or a combination of radiation therapy, chemotherapy, hormone therapy, or immunotherapy. Despite great advances in drug development, some of these treatments have been shown to induce cardiotoxicity directly affecting heart function and structure, as well as accelerating the development of cardiovascular disease. Such side effects restrict treatment options and can negatively affect disease management. Consequently, when managing cancer patients, it is vital to understand the mechanisms causing cardiotoxicity to better monitor heart function, develop preventative measures against cardiotoxicity, and treat heart failure when it occurs in this patient population. This review discusses the role and mechanism of major chemotherapy agents with principal cardiovascular complications in cancer patients.
蒽环类和曲妥珠单抗引起的心脏毒性:回顾性研究。
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