首页|免疫检查点抑制剂相关心血管不良反应流行病学、发病机制及诊断与治疗进展

免疫检查点抑制剂相关心血管不良反应流行病学、发病机制及诊断与治疗进展

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免疫检查点抑制剂(ICIs)作为临床治疗肿瘤的一线药物,其治疗过程中会引发一系列免疫相关不良反应(irAEs),涉及多器官、多系统,其中最严重的是ICIs相关心血管不良反应,主要包括心肌炎、心包炎、动脉粥样硬化性心血管疾病、心律失常、血管炎、静脉血栓栓塞等.ICIs相关心血管不良反应发生率虽低,但死亡率较高,已严重影响肿瘤患者的生存质量及远期预后,因此早期识别和及时干预至关重要.本文主要综述了ICIs相关心血管不良反应的流行病学、发病机制、诊断与治疗,以期为临床工作提供参考.
Progress on Epidemiology,Pathogenesis,Diagnosis and Treatment of Immune Checkpoint Inhibitors-Related Cardiovascular Adverse Events
Immune checkpoint inhibitors(ICIs),as a first-line drug for clinical treatment of tumors,can cause a series of immune-related adverse events(irAEs)during the treatment,involving multiple organs and systems.The most serious of them are ICIs-related cardiovascular adverse events,including myocarditis,pericarditis,atherosclerotic cardiovascular disease,arrhythmia,vasculitis,and venous thromboembolism.Although the incidence of ICIs-related cardiovascular adverse events is low,the mortality rate is high,which has seriously affected the quality of life and long-term prognosis of cancer patients.Therefore,early identification and timely intervention are very important.This article mainly reviews the epidemiology,pathogenesis,diagnosis and treatment of ICIs-related cardiovascular adverse events,in order to provide reference for clinical work.

Antineoplastic agents,immunologicalImmune checkpoint inhibitorsCardiovascular adverse eventsReview

于坚、王江涛、刘新亚、史敬、李妍、吴莉、张源明

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830000 新疆维吾尔自治区乌鲁木齐市,新疆医科大学附属肿瘤医院肿瘤心脏病科

830000 新疆维吾尔自治区乌鲁木齐市,新疆医科大学

830000 新疆维吾尔自治区乌鲁木齐市,新疆军区总医院心胸外科

抗肿瘤药,免疫 免疫检查点抑制剂 心血管不良反应 综述

2025

实用心脑肺血管病杂志
河北省心脑肺血管病防治研究办公室

实用心脑肺血管病杂志

影响因子:1.864
ISSN:1008-5971
年,卷(期):2025.33(2)