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放疗引起的心血管疾病,通常无症状,影响着心血管系统的每个构成部分。心包损伤是最常见的并发症,可表现为心包积液、缩窄性心包炎等,放疗损伤还可影响心肌、瓣膜、传导系统、周围血管系统等。一旦出现临床症状,并发症的致死率将显著增加。随着肺癌、乳腺癌、霍奇金病等患病率增高,放疗引起的心血管疾病发病率将随之增长,如何鉴别和评估放疗引起的心血管并发症就显得至关重要,如何治疗和预防也将是心脏病学和肿瘤学专家共同面临的难题。
Radiotherapy-induced cardiovascular disease, usually asymptomatic, affects every component of the cardiovascular system. Pericardial injury is the most common complication, manifested as pericardial effusion, constrictive pericarditis, etc., radiation injury can also affect myocardial, valve, conduction system, the peripheral vascular system. In the event of clinical symptoms, the mortality rate of complications will be significantly increased. With the increasing prevalence of lung cancer, breast cancer and Hodgkin’s disease, the incidence of cardiovascular diseases caused by radiotherapy will increase, and how to identify and evaluate the cardiovascular complications caused by radiotherapy is crucial. How to treat and treat Prevention will also be a common challenge for cardiology and oncology experts.