Cardio‐Oncology in the Era of the COVID‐19 Pandemic and Beyond

Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease

Avirup Guha¹  Daniel Addison¹  Courtney M. Campbell¹  Susan F. Dent²  Arjun K. Ghosh³  Hani Jneid⁴ 

[1] Cardio‐Oncology Program Division of Cardiology Department of Internal Medicine The Ohio State University Medical Center Columbus OH;Cardio‐Oncology Program Division of Medical Oncology Department of Internal Medicine Duke University Durham NC;Cardio‐Oncology Service Bart’s Heart Centre St. Bartholomew’s Hospital West Smithfield London United Kingdom;Division of Cardiology Baylor College of Medicine Michael E. DeBakey VA Medical Center Houston TX;

关键词: cancer;    cardiac imaging;    cardio‐oncology;    COVID‐19;    targeted therapies;   

DOI  :  10.1161/JAHA.120.017787

来源: DOAJ

【 摘 要 】

Abstract Coronavirus disease 2019 (COVID‐19) has emerged as a global pandemic and public health crisis. Increasing waves of intermittent infectious outbreaks have dramatically influenced care among broad populations. Over the past 2 decades, there has been a rapid increase in cancer survival, with >400 000 new survivors each year. The increasingly common presence of cardiovascular disease in patients during or after cancer treatment led to the rapid growth of the field of cardio‐oncology with a mandate of identifying, treating, and preventing the various forms of cardiovascular disease seen among this population. This review evaluates the implications of the pandemic on the practice and study of cardio‐oncology. The evolving understanding of the relationship between comorbid disease and clinical outcomes among this population is assessed. With the impetus of the pandemic, cardio‐oncology can be deliberate in embracing changes to cardiac screening, monitoring, and intervention during oncology care. Bridging 2 specialties, consideration of the lessons learned in cancer and cardiovascular may pivotally inform ongoing therapeutic efforts. Further, the development of multicenter registries focused on understanding and optimizing outcomes among these patients should be considered. Together, these insights may critically inform strategies for the care of cardio‐oncology patients in future phases of the COVID‐19 pandemic and beyond.

【 授权许可】

Unknown