2023年CSCO指南更新解读:放疗相关心脏毒性  

Update and interpretation of 2023 CSCO guidelines for radiation-related cardiotoxicity

作　　者：梅婷 范丽[1] 叶挺 曹如波 陈静[1,3] Mei Ting;Fan Li;Ye Ting;Cao Rubo;Chen Jing(Cancer Center,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China;Hubei Key Laboratory of Precision Radiation Oncology,Wuhan 430022,China;Institute of Radiation Oncology,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院肿瘤中心,湖北武汉430022 [2]肿瘤精准放射治疗湖北省重点实验室,湖北武汉430022 [3]华中科技大学同济医学院附属协和医院肿瘤放射治疗研究所,湖北武汉430022

出　　处：《实用肿瘤杂志》2023年第6期513-518,共6页Journal of Practical Oncology

摘　　要：放疗的发展使肿瘤患者的生存率显著提高,但放疗带来的并发症也无法避免。其中心脏毒性是接受胸部放疗患者最严重的并发症之一,且多为远期并发症。存在心脏基础疾病的患者放疗后心脏事件的发生率和死亡率明显增加。放疗相关心脏毒性因此受到越来越多的关注。中国临床肿瘤学会(Chinese Society of Clinical Oncology,CSCO)肿瘤心脏病学专家委员会每年根据最新进展更新《CSCO肿瘤治疗相关心血管毒性防治指南》,系统介绍包括放疗在内的各种抗肿瘤治疗措施相关心脏毒性的诊断和防治。本文就2023年该指南中关于放疗相关心脏毒性的更新要点及防治措施作简要综述,以期更好实现对放疗相关心脏事件的管理。The development of radiotherapy has significantly improved the survival of tumor patients.However,radiotherapy-related complications are inevitable.Cardiotoxicity is one of the most severe and largely long-term complications.Additionally,among patients with underlying cardiac conditions,the incidence and mortality of cardiac events after radiotherapy increased considerably.Radiotherapy-related cardiotoxicity has received increasing attention.The Chinese Society of Clinical Oncology(CSCO)Expert Committee on Cardio-Oncology annually updates the CSCO guidelines for cardiovascular toxicity associated with cancer treatment according to the latest progress.The guidelines systematically introduce the recommended measures to diagnose,prevent and treat cardiotoxicity caused by various antineoplastic treatments including radiotherapy.This review focuses on the key updated points and measures for the prevention and treatment of radiation-related cardiotoxicity in the 2023 guidelines,to improve the management of post-radiation cardiac events.

关 键 词：放疗 心脏毒性 防治 中国临床肿瘤学会 指南解读 

分 类 号：R730.55[医药卫生—肿瘤]