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Сердечно-сосудистые осложнения радиотерапии

https://doi.org/10.33667/2078-5631-2020-8-32-39

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Аннотация

Радиотерапия является неотъемлемой частью лечения онкологических заболеваний, в том числе при поражении органов средостения, молочной железы. При этом часто встречаются сердечно-сосудистые осложнения лечения. Долгосрочный прогноз может определяться не только эффективностью радиотерапии, но и сердечно-сосудистыми рисками. Особенностью кардиотоксичности лучевой терапии является высокая вероятность ее возникновения в отсроченном периоде – через 3–30 лет после лечения. В статье обсуждаются результаты опубликованных эпидемиологических исследований кардиотоксичности радиотерапии, а также освещены имеющиеся алгоритмы обследования пациентов, перенесших радиотерапию, с целью своевременной диагностики осложнений со стороны сердечно-сосудистой системы. Представлено собственное клиническое наблюдение раннего дебюта ишемической болезни сердца после комбинированной химиолучевой терапии В-крупноклеточной неходжкинской лимфомы.

Об авторах

Е. К. Шаварова
ФГАОУ ВО «Российский университет дружбы народов»
Россия

доцент, кафедра внутренних болезней с курсом кардиологии и функциональной диагностики им. акад. В. С. Моисеева

г. Москва



Е. Э. Школьникова
ФГАОУ ВО «Российский университет дружбы народов»
Россия

доцент, кафедра внутренних болезней с курсом кардиологии и функциональной диагностики им. акад. В. С. Моисеева

г. Москва



И. А. Хомова
ФГАОУ ВО «Российский университет дружбы народов»
Россия

аспирант, кафедра внутренних болезней с курсом кардиологии и функциональной диагностики им. акад. В. С. Моисеева

г. Москва



В. С. Черноморец
ФГАОУ ВО «Российский университет дружбы народов»
Россия

аспирант, кафедра внутренних болезней с курсом кардиологии и функциональной диагностики им. акад. В. С. Моисеева

г. Москва



Е. А. Баздырева
ГБУЗ «Городская клиническая больница имени В. В. Виноградова» Департамента здравоохранения г. Москвы
Россия

врач функциональной диагностики

г. Москва



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Для цитирования:


Шаварова Е.К., Школьникова Е.Э., Хомова И.А., Черноморец В.С., Баздырева Е.А. Сердечно-сосудистые осложнения радиотерапии. Медицинский алфавит. 2020;(8):32-39. https://doi.org/10.33667/2078-5631-2020-8-32-39

For citation:


Shavarova E.K., Shkolnikova E.E., Khomova I.A., Chernomorets V.S., Bazdyreva E.A. Cardiovascular complications of radiotherapy. Medical alphabet. 2020;(8):32-39. (In Russ.) https://doi.org/10.33667/2078-5631-2020-8-32-39

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ISSN 2078-5631 (Print)