Prevention, Diagnosis, and Management of Radiation-Associated Cardiac Disease JACC Scientific Expert Panel
Prevention, Diagnosis, and Management of Radiation-Associated Cardiac Disease JACC Scientific Expert Panel
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DOI：
10.1016/j.jacc.2019.07.006
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发表时间：
2019-08-20
影响因子：
24
通讯作者：
Johnston, Douglas R.
中科院分区：
文献类型：
--
作者：
Desai, Milind Y.;Windecker, Stephan;Johnston, Douglas R.
与辐射相关的心脏病是一种异质和复杂的疾病，在胸部受到辐射照射几年甚至几十年后表现出来。它与显著更高的发病率和死亡率有关。通常情况下，该报告含糊其辞，并与许多疾病重叠，呈现独特的诊断和管理问题。因此，高怀疑指数之后再进行多模式成像以及全面的筛查以实现早期发现至关重要。在这些患者中，介入的时机应该仔细考虑，因为手术通常是复杂的，而经皮介入的作用正在显现。(C)2019年，由美国心脏病学会基金会主办。
Radiation-associated cardiac disease, a heterogeneous and complex disease, manifests years or even decades following radiation exposure to the chest. It is associated with a significantly higher morbidity and mortality. Often, the presentation is vague and overlaps with many diseases, presenting unique diagnostic and management issues. As a result, a high index of suspicion followed by multimodality imaging is crucial, along with comprehensive screening to enable early detection. Timing of intervention should be carefully considered in these patients, because surgery is often complex with an emerging role of percutaneous interventions. (C) 2019 by the American College of Cardiology Foundation.