Neoplasms / complications

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Review Article

Cancer and Cardiovascular Diseases during the COVID-19 Pandemic

Lucas Tokio Kawahara et al. Isabela Bispo Santos da Silva Costa Cecília Chie Sakaguchi Barros Gabriel Coelho de Almeida … Cristina Salvadori Bittar Stephanie Itala Rizk Laura Testa Camila Motta Venchiarutti Moniz Juliana Pereira Gláucia Maria Moraes de Oliveira Maria Del Pilar Estevez Diz Patricia Oliveira Guimarães Ibraim Masciarelli Pinto Roberto Kalil Filho Ludhmila Abrahão Hajjar Paulo M. Hoff

Abstract

The challenges that the COVID-19 pandemic cretead to the healthcare system have made it necessary to adapt routines and services, with the objectives of controlling the spread of the virus and preserving health. Safe and correct management of patients in risks groups, such as elderly patients, patients with cardiovascular diseases, and patients with cancer, has become even more important. Thus, cardio-oncology has gained a new dimension, with the aim of adapting to patients’ needs during the pandemic by restructuring the system of care in a manner that offers quality and safety in healthcare.

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Revisão

Hypertension in Patients with Cancer

Vinicius Barbosa de Souza et al. Eduardo Nani Silva Mario Luiz Ribeiro Wolney de Andrade Martins

There is a known association between chemotherapy and radiotherapy for treatment of cancer patients and development or worsening of hypertension. The aim of this article is to review this association. A literature search was conducted for articles reporting this association on the databases PubMed, SciELO and LILACS between 1993 and 2013. There was a high coprevalence of hypertension and cancer, since both diseases share the same risk factors, such as sedentary lifestyle, obesity, smoking, unhealthy diet and alcohol abuse. The use of chemotherapy and adjuvant drugs effective in the treatment of cancer increased the survival rate of these patients and, consequently, increased the incidence of hypertension. We described the association between the use of angiogenesis inhibitors (bevacizumab, sorafenib and sunitinib), corticosteroids, erythropoietin and non-steroidal anti-inflammatory drugs with the development of hypertension. We also described the relationship between hypertension and carotid baroreceptor injury secondary to cervical radiotherapy. Morbidity and mortality increased in patients with cancer and hypertension without proper antihypertensive treatment. We concluded that there is need for early diagnosis, effective monitoring and treatment strategies for hypertension in cancer patients in order to reduce cardiovascular morbidity and mortality.

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Cancer and Cardiovascular Diseases during the COVID-19 Pandemic

Abstract

Hypertension in Patients with Cancer

Electronic Document Format (Vancouver)

Electronic Document Format (ABNT)

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Electronic Document Format (ISO)

Electronic Document Format (Vancouver)

Electronic Document Format (ABNT)

Electronic Document Format (APA)

Electronic Document Format (ISO)