Prevention, Diagnosis, and Management of Radiation-Associated Cardiac Disease: JACC Scientific Expert Panel
Milind Y Desai, Stephan Windecker, Patrizio Lancellotti, Jeroen J Bax, Brian P Griffin, Oren Cahlon, Douglas R Johnston, Milind Y Desai, Stephan Windecker, Patrizio Lancellotti, Jeroen J Bax, Brian P Griffin, Oren Cahlon, Douglas R Johnston
Abstract
Radiation-associated cardiac disease, a heterogeneous and complex disease, manifests years or even decades following radiation exposure to the chest. It is associated with a significantly higher morbidity and mortality. Often, the presentation is vague and overlaps with many diseases, presenting unique diagnostic and management issues. As a result, a high index of suspicion followed by multimodality imaging is crucial, along with comprehensive screening to enable early detection. Timing of intervention should be carefully considered in these patients, because surgery is often complex with an emerging role of percutaneous interventions.
Keywords: cardiac disease; diagnosis; management; radiation; review.
Copyright © 2019 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.
Source: PubMed