研究动态
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儿童急性淋巴细胞白血病幸存者的心电异常:系统评价。

Cardiac electrical abnormalities in childhood acute lymphoblastic leukemia survivors: a systematic review.

发表日期:2023 Nov 11
作者: Émilie Bertrand, Maxime Caru, Audrey Harvey, Philippe Dodin, Vincent Jacquemet, Daniel Curnier
来源: HEART & LUNG

摘要:

目的是提供有关儿童急性淋巴细胞白血病 (ALL) 幸存者心电异常的患病率、发生率和危险因素的证据。我们纳入了报告心电异常和/或危险因素的发生率和/或患病率的所有原始研究与接受治疗后的儿童 ALL 幸存者(首次癌症诊断时年龄<21 岁)的心电异常相关。 PubMed、Ovid MEDLINE(R) 和 Epub 数据库的检索 Ahead of Print、In-Process、In-Data-Review
The aim was to provide evidence about the prevalence, incidence, and risk factors of cardiac electrical abnormalities in childhood acute lymphoblastic leukemia (ALL) survivors.We included all original studies reporting the incidence and/or prevalence of cardiac electrical abnormalities and/or risk factors associated with cardiac electrical abnormalities in childhood ALL survivors (< 21 years old at the time of their initial cancer diagnosis) who were post-treatment. Searches of the databases PubMed, Ovid MEDLINE(R) and Epub Ahead of Print, In-Process, In-Data-Review & Other Non-Indexed Citations, Daily and Versions(R), Ovid All EBM Reviews, Ovid Embase, and ISI Web of Science were completed in May 2023. The risk of bias was assessed using the standard JBI critical appraisal checklists.The 11 studies included in this review (N = 1,264 participants) evaluated various parameters, including different cardiac electrical abnormalities. Five studies reported heart rate abnormalities (0-68%), six reported repolarization disorders (0-30%), two reported depolarization disorders (0-1%), seven reported rhythm disturbances or abnormalities (0-100%), four reported conduction disorders (0-10%), and three reported unclassified abnormalities (1-38%). No risk factors were reported.Electrical heart problems have been observed in childhood ALL survivors after completion of treatment. Large prospective studies in childhood ALL survivors, clear definitions of cardiac electrical abnormalities, and comparison with a control group are warranted.Cardiac electrical abnormalities induced by chemotherapy-related cardiotoxicity in the growing population of childhood ALL survivors need to be better characterized to ensure better long-term follow-up and improve overall survival rate.© 2023. The Author(s).