Targeted therapies for chronic myeloid leukemia and cardiovascular system Review article

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Sebastian Szmit
Wiesław Wiktor Jędrzejczak
Adam Torbicki

Abstrakt

Zachorowania na przewlekłą białaczkę szpikową dotykają głównie osób starszych, u których występują istotne czynniki ryzyka miażdżycy, a często również organiczne choroby serca. Leki ukierunkowane molekularnie, takie jak imatynib, dazatynib i nilotynib, bardzo istotnie poprawiają rokowanie tej grupy chorych. Jednak podobne cele molekularne w postaci kinaz tyrozynowych są także istotne dla prawidłowej funkcji układu sercowo-naczyniowego i ich blokowanie może mieć niekorzystne skutki w tym układzie. Efektami klinicznymi są skurczowa niewydolność serca związana z terapią imatynibem, tętnicze nadciśnienie płucne związane z terapią dazatynibem oraz niedokrwienie kończyn związane z miażdżycą tętnic obwodowych obserwowane podczas terapii nilotynibem. Podkreśla się rolę odpowiedniego monitoringu kardiologicznego, zwłaszcza w podgrupach ze zdefiniowanymi czynnikami ryzyka powikłań.

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Szmit S, Jędrzejczak WW, Torbicki A. Targeted therapies for chronic myeloid leukemia and cardiovascular system. OncoReview [Internet]. 1 październik 2013 [cytowane 19 maj 2024];3(3(11):163-76. Dostępne na: https://journalsmededu.pl/index.php/OncoReview/article/view/340
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