期刊
JACC-CARDIOVASCULAR IMAGING
卷 11, 期 8, 页码 1132-1149出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jcmg.2018.04.028
关键词
diagnosis; management; radiation heart disease; review
Radiation-associated cardiac disease (RACD) results in complex clinical presentations, unique management issues, and increased morbidity and mortality. Patients typically present years or even decades after radiation exposure, with delayed-onset cardiac damage sustained from high cumulative doses. Multimodality imaging is crucial to determine the manifestations and severity of disease because symptoms are often nonspecific. Comprehensive screening using a coordinated approach may enable early detection. However, timing of intervention should be carefully considered in these patients because surgery is often complex and high-risk second surgeries should be minimized in the long-term. This review aims to provide treating physicians with a comprehensive and clinically focused overview of RACD, including clinical/imaging manifestations, multi-modality screening recommendations, and management options. (c) 2018 by the American College of Cardiology Foundation.
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