1.Cardiovascular diseases in patients with cancer: A comprehensive review of epidemiological trends, cardiac complications, and prognostic implications.
Ali A ALSHAHRANI ; Evangelos KONTOPANTELIS ; Catharine MORGAN ; Rathi RAVINDRARAJAH ; Glen P MARTIN ; Mamas A MAMAS
Chinese Medical Journal 2025;138(2):143-154
This article provides an overview of the current evidence on the epidemiology, overlapping risk factors, and pathophysiology of cardiovascular disease (CVD) in patients with cancer. It explores the cardiotoxic effects of anticancer therapy and their impact on prognosis. Although cancer survival rates have improved over the last two decades, the risk of CVD has risen over time in patients with cancer. CVD and cancer share similar risk factors and a common pathophysiology involving inflammation. Many chemotherapeutic agents used to treat cancer are associated with cardiovascular complications (such as heart failure, myocardial infarction, and thrombosis). Current evidence indicates a significant burden of CVD in patients with cancer, particularly in the first year following cancer diagnosis, with elevated risk persisting beyond this period. This short- and long-term risk of CVD may vary depending on the cancer type and treatment regimen. Early identification of potential cardiovascular risk in patients with cancer, can lead to more favorable clinical and survival outcomes. Given the acute and long-term consequences, patients with cancer require increased cardiovascular care and lifestyle optimization. This article offers valuable insights into the cardiovascular burden and needs of patients with cancer. It is intended for a general medical research readership interested in the intersection of cardiology and oncology.
Humans
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Neoplasms/drug therapy*
;
Cardiovascular Diseases/etiology*
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Prognosis
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Risk Factors
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Antineoplastic Agents/therapeutic use*
2.Frozen Sections in Decision-Making Regarding the Axillary Procedures in Breast Conserving Surgery for Intraductal Carcinoma at Preoperative Diagnosis
Sanghwa KIM ; Kwanbum LEE ; Mushabab Ali ALSHAHRANI ; Jee Hyun AHN ; Jeea LEE ; Hyung Seok PARK
Journal of Korean Medical Science 2023;38(30):e224-
Background:
Axillary evaluation is unnecessary for pure ductal carcinoma in situ (DCIS);however, it is performed because of the risk of upstaging to invasive cancer. We assessed the role of intraoperative frozen section (IOF) biopsy in reducing invasive cancer upstaging and axillary evaluation in preoperative DCIS patients.
Methods:
We reviewed patients with preoperative DCIS who underwent breast-conserving surgery (BCS) with IOF biopsy. Positive IOF biopsy findings were defined as the presence of invasive or micro-invasive cancer. The IOF biopsy and permanent pathology findings were compared.
Results:
Seventy-eight patients underwent BCS with IOF biopsy. Six patients showed positive IOF biopsy findings; five of these patients showed concordant permanent pathology findings.Sentinel lymph node biopsy (SLNB) was positive in one patient. Thirteen patients with invasive breast cancer were missed by IOF biopsy; they underwent SLNB during the second surgery. None of them had metastatic lymph nodes. The sensitivity and specificity of IOF biopsy were 27.7% and 98.3%, respectively, with 82.1% accuracy. None of the other factors showed statistically significant relationships with the permanent pathology findings, except for the IOF biopsy findings.
Conclusion
IOF evaluation can aid in detecting the invasiveness of tumors in patients with preoperative DCIS.
3.Prevalence of methicillin-resistant Staphylococcus aureus on cellphones of healthcare workers in Najran University hospital, Najran City (Saudi Arabia)
Amna Mohammed Idris Musa ; Nada Elsir Ahmed Fagir ; Mugahed Ali Al-khadher ; Mohammed Abdulrahman Alshahrani ; Mohammed Hassan Nahari ; Mohamed Aleraky Saleh ; Itedal Abdelraheem Mohamed Ahmed
Malaysian Journal of Microbiology 2023;19(no.3):301-307
Aims:
Mobile phones are used extensively by healthcare workers (HCWs) who are unaware of the amount of
contamination these phones carry and act as reservoirs for organisms causing hospital-acquired infections. This investigation was aimed to find the prevalence of methicillin-resistant Staphylococcus aureus (MRSA) contamination and antimicrobial resistance patterns of isolates from HCW’s cellphones.
Methodology and results:
This study was a hospital-based cross-sectional study. A total of 120 samples were isolated from HCWs’ cellphones and subjected to culture and sensitivity as per the standard guidelines. Five (18.1%) out of 120
collected samples were from 11 lab technicians’ phones and were positive for S. aureus and 6.25% were obtained from 48 nurses’ cellphone swabs.
Conclusion, significance and impact of study
The findings of this study reveal that HCWs’ cellphones could be apossible source of infection since a high prevalence of MRSA was found on lab technicians and nurse cellphone sample swabs. On the other hand, all S. aureus isolates were resistant to methicillin and ceftazidime. Also, no significant relationship between the prevalence of MRSA was detected.


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