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中国癌症防治杂志 ›› 2025, Vol. 17 ›› Issue (6): 653-659.doi: 10.3969/j.issn.1674-5671.2025.06.01

• 肿瘤心脏病诊疗专栏 • 上一篇    下一篇

肿瘤心脏病学研究现状及未来展望

  

  1. 北部战区总医院肿瘤科
  • 出版日期:2025-12-25 发布日期:2026-02-02
  • 通讯作者: 谢晓冬 E-mail:doctor_xxd@163.com
  • 基金资助:
    辽宁省自然科学基金项目(2024?MS?16)

Current status and future prospects of cardio⁃oncology

  • Online:2025-12-25 Published:2026-02-02

摘要: 肿瘤与心血管疾病作为威胁人类健康的两大 “杀手”,长期以来在医学领域中分属独立的赛道。随着肿瘤诊疗技术的迭代更新,患者长期生存率显著提升,恶性肿瘤及其治疗药物通过不同方式影响心脏的代谢、生化特性及结构功能,相关心血管毒性对患者生存质量的影响愈发凸显,肿瘤心脏病学这一新兴交叉学科应运而生。历经近二十年的发展,该学科已从概念共识走向临床实践,构建起以多学科协作为核心、全程管理为框架、技术创新为支撑的全方位诊疗体系,为实现“抗癌”与“护心”双赢的目标提供科学路径。本文就肿瘤心脏病学的发展历程、机制研究、风险评估和预防以及学科未来发展方向等方面进行述评。

关键词: 肿瘤心脏病学, 肿瘤治疗, 心血管毒性, 预防

Abstract: Tumors and cardiovascular diseases are regarded as two major "killers" threatening human health and have traditionally been studied as separate disciplines in the medical field. With continuous advancements in tumor diagnosis and treatment, the long⁃term survival rates of patients have significantly improved. Various malignant tumors and the corresponding therapeutic drugs affect cardiac metabolism, biochemical properties, and structural functions through diverse mechanisms. Related cardiovascular toxicities increasingly compromise patients' quality of life, leading to the emergence of the interdisciplinary field of cardio⁃oncology. Over nearly two decades, this discipline has evolved from a conceptual consensus to clinical practice, establishing a comprehensive diagnosis and treatment system centered on multidisciplinary collaboration, holistic management, and technological innovation. It provides a scientific pathway to achieve the dual goals of "cancer treatment" and "heart protection". This article reviews the developmental history, mechanistic research, risk assessment and prevention, as well as future directions of cardio⁃oncology.

Key words: Cardio?oncology, Tumor treatment, Cardiovascular toxicity, Prevention

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