Journal of Pediatric Oncology Nursing

 

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Journal of Pediatric Oncology Nursing, Vol. 22, No. 1, 38-47 (2005)
DOI: 10.1177/1043454204272531
© 2005 Association of Pediatric Hematology/Oncology Nurses

Cardiovascular Late Effects

Dawn M. Greving, MSN, RN, CPNP

Cincinnati Children’s Hospital Medical Center, Hematology Oncology Division, 3333 Burnet Avenue, Cincinnati, OH 45229-3039dawn.greving{at}cchmc.org

Sheila Judge Santacroce, PhD, APRN

Yale University School of Nursing; HEROS Program, Department of Pediatrics, at Yale University School of Medicine, New Haven, CT

This integrative literature review focuses on (1) the spectrum of cardiovascular late effects; (2) the factors that can influence the development of cardiovascular late effects; and (3) the role of the pediatric oncology nurse in minimizing the risks of cardiovascular late effects and associated disabilities in childhood cancer survivorship. The results showed that survivors who have been treated with radiation therapy, especially when the field includes the heart or the hypothalamic-pituitary axis (HPA), and specific chemotherapies are at increased risk for developing particular cardiovascular risk factors and/or cardiovascular disease. Younger age at diagnosis, longer time since treatment, and family history of early heart disease can further heighten the risks. The role of pediatric oncology nurses in the promotion of cardiovascular health for children with cancer across the illness trajectory is discussed.

Key Words: health promotion • childhood cancer survivors • cancer treatment


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