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免疫检查点抑制剂心脏毒性的临床热点与争议
Clinical focused issues and controversies of cardiotoxicity of immune checkpoint inhibitors
【摘要】 免疫检查点抑制剂(ICIs)使多种晚期恶性肿瘤的治疗模式开启了新变革。尽管免疫检查点抑制剂相关心脏毒性较为罕见,但致死性极高。以往研究中免疫检查点抑制剂心脏毒性的发生率被低估。本综述聚焦于目前免疫检查点抑制剂心脏毒性方面的研究进展,包括流行病学、评估、诊断、治疗和预后等。接受ICIs治疗者的最佳肿瘤心脏病管理模式仍面临诸多挑战。
【Abstract】 Immune checkpoint inhibitors(ICIs) have started revolutionizing the treatment of various advanced cancers. Although ICIs-related cardiotoxicity is rare,it has significant relevance due to the high mortality. Cardiotoxicity has largely been underestimated in previous studies of toxicity of ICIs. This review focuses on current knowledge about ICIs-related cardiotoxicity,including the incidence,assessment,diagnosis,treatment,prevention and prognosis. Future challenges are depicted for optimum cardio-oncology care of patients receiving ICIs therapy.
【Key words】 Immune checkpoint inhibitors; Cardiotoxicity; Diagnosis; Treatment;
- 【文献出处】 中国心血管病研究 ,Chinese Journal of Cardiovascular Research , 编辑部邮箱 ,2021年02期
- 【分类号】R730.5
- 【下载频次】303