Author/Editor     Boltežar, Lučka; Poglajen, Gregor
Title     Srčno popuščanje in onkološko zdravljenje
Translated title     Heart failure and oncologic treatment
Type     članek
Vol. and No.     Letnik 89, št. 7/8
Publication year     2020
Volume     str. 432-445
ISSN     1318-0347 - Zdravniški vestnik : glasilo Slovenskega zdravniškega društva : Slovenian medical journal
Language     slv
Abstract     Heart failure after oncological treatment is a hot topic in oncology as well as in cardiology and it demands quick diagnostic and therapeutic interventions. The most commonly used classification of myocardial damage is still type I (anthracycline-like) and type II (trastuzumab-like) myocardial injury. Radiotherapy is also a significant contributor to cardiotoxicity in oncologic patients. The European Society of Cardiology has published guidelines regarding surveillance and follow up of such patients, the golden standard of imaging techniques being echocardiography. Other imaging techniques and laboratory modalities could be used but are not widely available. This year's recommendations of the European Society of Medical Oncology advise considering the use of cardioprotective medications before and during therapy in individuals with known cardiovascular risk factors. However, individual approach to every patient is of paramount importance.
Keywords     poškodba miokarda
antraciklini
reprečevanje srčnega popuščanja
myocard injury
anthracyclins
heart failure prevention