临床心血管病杂志2024,Vol.40Issue(3) :182-187.DOI:10.13201/j.issn.1001-1439.2024.03.005

免疫检查点抑制剂相关心肌炎诊疗进展

Advances in the management of immune checkpoint inhibitor-associated myocarditis

李泞甫 李智可 陈旭澜 皈燕
临床心血管病杂志2024,Vol.40Issue(3) :182-187.DOI:10.13201/j.issn.1001-1439.2024.03.005

免疫检查点抑制剂相关心肌炎诊疗进展

Advances in the management of immune checkpoint inhibitor-associated myocarditis

李泞甫 1李智可 1陈旭澜 2皈燕2
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作者信息

  • 1. 川北医学院附属医院肿瘤科(四川南充,637000);川北医学院临床医学系
  • 2. 川北医学院附属医院肿瘤科(四川南充,637000)
  • 折叠

摘要

免疫检查点抑制剂(immune checkpoint inhibitor,ICI)是肿瘤治疗的一大突破,在临床应用日益广泛.ICI相关心肌炎是ICI药物的罕见不良反应之一,病死率较高.尽管国内外均报道了该不良反应的治疗经验和指南,但部分医生在临床工作中仍存在认知不足、监管评估方案缺乏等问题.故本文对ICI相关心肌炎发病机制、诊断、治疗策略进行综述,以提高肿瘤科及心脏科医师的认识.

Abstract

Immune checkpoint inhibitors(ICI)are a major breakthrough in oncology treatment and are in-creasingly used in clinical practice.ICI-associated myocarditis is one of the rare adverse reactions to ICI drugs,with a high mortality rate.Guidelines for treating this adverse reaction have been written both domestically and in-ternationally at home and abroad.However,there is still a lack of awareness and reliable regulatory assessment protocols in clinical work.Therefore,this article reviews the pathogenesis,diagnosis,and treatment strategies of ICI-associated myocarditis in order to raise the awareness of oncologists and cardiologists.

关键词

心肌炎/免疫检查点抑制剂

Key words

myocarditis/immune checkpoint inhibitor

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基金项目

国家自然科学基金(20SXQT0329)

南充市市校合作科研专项(20SXQT0254)

南充市市校合作科研专项(20SXQT0071)

出版年

2024
临床心血管病杂志
华中科技大学心血管病研究所 华中科技大学协和医院

临床心血管病杂志

CSTPCD
影响因子:0.653
ISSN:1001-1439
参考文献量42
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