Сердечно-сосудистые осложнения радиотерапии
https://doi.org/10.33667/2078-5631-2020-8-32-39
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
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
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
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
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
Россия
врач функциональной диагностики
г. Москва
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Рецензия
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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