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Cardiovascular involvement in patients with neoplasmatic disease
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Abstract
Cardiovascular involvement in patients with neoplasmatic disease are not uncommon. Widely used imaging methods allow to detect neoplasmatic metastasis within cardiovascular system more often than in the past. Pericardial and endocardial (i.e. NBTE — nonbacterial thrombotic endocarditis) pathology in cancer patients are common. Some of them (cardiac tamponade, superior vena cava syndrome and complete atrioventricular block) require specific management (paracentesis, irradiation or pacing). New treatment strategies are now available (pericardio-peritoneal communication done with balloon used in invasive cardiology, or stenting in vena cava superior syndrome). Before each procedure the question about risk and benefits, as well as the probability of symptomatic improvements in terminal ill patients has to be answered.
Abstract
Cardiovascular involvement in patients with neoplasmatic disease are not uncommon. Widely used imaging methods allow to detect neoplasmatic metastasis within cardiovascular system more often than in the past. Pericardial and endocardial (i.e. NBTE — nonbacterial thrombotic endocarditis) pathology in cancer patients are common. Some of them (cardiac tamponade, superior vena cava syndrome and complete atrioventricular block) require specific management (paracentesis, irradiation or pacing). New treatment strategies are now available (pericardio-peritoneal communication done with balloon used in invasive cardiology, or stenting in vena cava superior syndrome). Before each procedure the question about risk and benefits, as well as the probability of symptomatic improvements in terminal ill patients has to be answered.
Keywords
cardiac tamponade; cardiac metastases; arrhythmia
About this articleTitle
Cardiovascular involvement in patients with neoplasmatic disease
Journal
Advances in Palliative Medicine
Issue
Vol 2, No 2 (2003): Polish Palliative Medicine
Pages
99-103
Published online
2003-02-05
Page views
468
Article views/downloads
17223
Bibliographic record
Advances in Palliative Medicine 2003;2(2):99-103.
Keywords
cardiac tamponade
cardiac metastases
arrhythmia
Authors
Piotr Sobański