Miss L, 45 years old, was diagnosed with breast cancer on 105. She actively cooperated with chemotherapy and targeted therapy. A year later, the tumor was well controlled and her life gradually returned to the right track. However, in the past two weeks, shortness of breath and palpitation began to appear. Under the tracking of Zhang Weiting, the attending physician of Cardiovascular Department of Chimei Medical Center, it was found that his blood pressure was too high and his heart function decreased. After health education, low-salt diet, blood pressure control and early intervention of heart failure drugs, his heart function gradually stabilized and his symptoms improved.
Cancer treatment not only pays attention to curative effect and side effects, but also needs attention.
In recent years, the rapid progress of chemical and targeted drugs has improved the effect of cancer treatment and improved the survival rate of patients. When receiving chemotherapy, patients with malignant tumors pay attention to the efficacy of drugs, the reaction of tumors and whether drugs cause immediate side effects to patients, such as fever, vomiting or changes in blood cells. The side effects of tumor treatment not only increase the risk of death.
Assemble interdisciplinary departments to find cardiac insufficiency early.
Therefore, Chimei Medical Center, led by Cardiovascular Department from 103, invited hematology oncology department, * * surgery department, cancer center, nutrition department and rehabilitation department to jointly set up a heart tumor team to treat breast cancer and lymphoma patients who received adriamycin (commonly known as cranberry) chemotherapy for the first time. High-performance echocardiography is used to accurately monitor patients' cardiac function. The oximeter measures the changes of blood oxygen concentration when patients walk for 6 minutes. A complete inspection process and image recording system are established through a specially designed information framework, so that cardiac dysfunction can be found early and treated in time.
Awarded the honor published in the international SCI journal, the status of tumor cardiology was improved.
Thanks to the team's efforts, it not only became the first team in Taiwan Province Province to implement the cancer heart protection plan, but also took the lead in having local data of nearly 300 patients in Taiwan Province Province. In addition to the award of the Heart Society, the related achievements also won the first place in the paper published by the Society and the honor published in the SCI journal (Acta Cardiosin 2065438+06; 32:550_559), and assisted the Heart Association in writing the first guideline of cardiovascular oncology for heart failure, which was reported at the meeting of Asia-Pacific Heart Association (APSC) in May 107, and was recognized by SNQ national quality standard in the same year.
Zhang Weiting said that in addition to being rated as 2065438+ 10 by the American Heart Association (ACC/AHA), the European Heart Association (ESC) has also formulated diagnosis and treatment standards related to cancer treatment and cardiotoxicity, and tumor cardiology has been designated as an independent theme in major international conferences, which shows its increasing international importance.
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