Applied Cardio-Oncology in Hematological Malignancies: A Narrative Review.

Evdokia Mandala, Kyranna Lafara, Dimitrios Kokkinovasilis, Ioannis Kalafatis, Vasiliki Koukoulitsa,Eirini Katodritou,Christos Lafaras

Life (Basel, Switzerland)(2024)

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摘要
Applied cardio-oncology in hematological malignancies refers to the integration of cardiovascular care and management for patients with blood cancer, particularly leukemia, lymphoma, and multiple myeloma. Hematological cancer therapy-related cardiotoxicity deals with the most common cardiovascular complications of conventional chemotherapy, targeted therapy, immunotherapy, chimeric antigen receptor T (CAR-T) cell and tumor-infiltrating lymphocyte therapies, bispecific antibodies, and hematopoietic stem cell transplantation. This narrative review focuses on hematological cancer-therapy-related cardiotoxicity's definition, risk stratification, multimodality imaging, and use of cardiac biomarkers to detect clinical and/or subclinical myocardial dysfunction and electrical instability. Moreover, the most common cardiotoxic profiles of the main drugs and/or therapeutic interventions in patients with hematological malignancies are described thoroughly.
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关键词
cardio-oncology,hematological malignancies,cardiotoxicity,multimodality imaging,myocardial dysfunction
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