CARDIOVASCULAR SEQUELAE OF THERAPEUTIC THORACIC RADIATION

被引:67
作者
ARSENIAN, MA [1 ]
机构
[1] UNIV TENNESSEE, DEPT INTERNAL MED, DIV CARDIOL, KNOXVILLE, TN 37996 USA
关键词
D O I
10.1016/0033-0620(91)90022-E
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Mediastinal radiation damages endothelial cells, with resulting loss of capillaries and ischemia at the level of the microcirculation. These changes lead to increases in collagen and proliferation of fibrous tissue throughout the heart. Cardiac dysfunction following radiotherapy is surprisingly common and may be due to pericardial, myocardial, valvular, conduction system, or coronary artery disease. Greater awareness of cardiotoxicity has prompted changes in radiation techniques that appear to reduce clinical cardiovascular complications. © 1991.
引用
收藏
页码:299 / 312
页数:14
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