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免疫检查点抑制剂相关心脏毒性研究进展

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免疫检查点抑制剂(immune checkpoint inhibitors,ICIs)是一种新型肿瘤免疫治疗药物,近年来已被广泛应用于多种恶性肿瘤的治疗.但免疫系统的过度激活也会诱发免疫相关不良事件,其中ICIs诱发的心脏毒性包括心肌炎、心包疾病、动脉粥样硬化、血管炎等.ICIs相关心脏毒性虽然发生率不高,但可能导致严重的临床症状,甚至死亡.因此,临床工作中须及时识别和管理ICIs相关心脏毒性,一旦确诊,需根据疾病的严重程度及时进行治疗.ICIs相关心脏毒性的规范化防治需要多学科共同协作,为患者提供全周期个体化监测与管理.
Advances in immune checkpoint inhibitor-induced cardiotoxicity
Immune checkpoint inhibitors(ICIs)have emerged as one of the novel immunotherapy drugs in recent years,and been approved for the treatment of multiple tumour types.However,over-activation of the immune system may lead to immune-related advese events,among these,ICIs-induced cardiotoxicity include myocarditis,pericardial disease,atherosclerosis and vasculitis.Although ICIs-induced cardiotoxicity is rare,it may lead to serious clinical complications and even death.Thus,timely identification and management of ICIs-induced cardiotoxicity is vital in clinical practice.Once diagnosed,prompt treatment is required according to the severity of the disease.Standardized prevention and treatment strategies need multidisciplinary collaboration to provide long-term individualized monitoring and management for patients.

immune checkpoint inhibitorcardiotoxicitymyocarditismonitoring

蔡青青、程蕾蕾

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复旦大学附属中山医院药剂科,上海 200032

复旦大学附属中山医院心脏超声诊断科,上海 200032

免疫检查点抑制剂 心脏毒性 心肌炎 监测

国家自然科学基金上海申康医院发展中心市级医院诊疗技术推广及优化管理技术规范化管理和推广项目中国医学科学院中央级公益性科研院所基本科研业务费专项基金

82170359SHDC220232072024-JKCS-28

2024

中国临床医学
复旦大学附属中山医院

中国临床医学

CSTPCD
影响因子:1.002
ISSN:1008-6358
年,卷(期):2024.31(4)