Ruta crÃtica en el seguimiento por cardiologÃa del paciente pediátrico con enfermedad oncológica activa
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La concepción de terapias curativas aplicadas a niños con cáncer presenta considerables logros. La cardio – oncologÃa es una nueva disciplina horizontal dedicada al diagnóstico y tratamiento de las enfermedades cardiovasculares inducidas por el tratamiento oncológico; sin embargo, surgen interrogantes relacionadas con las estrategias a desarrollar en el paciente pediátrico durante el momento de actividad tumoral con independencia de la recepción terapéutica.
La cardio – oncologÃa pediátrica se particulariza respecto a su contraparte en el adulto mediante diferencias relacionadas con las entidades onco – hematológicas que enfrenta, las  co – morbilidades sistémicas y cardiovasculares identificadas, las aproximaciones medicamentosas aplicadas, la caracterización del miocardio en el niño y las respuestas del organismo ante el tratamiento. La adopción de estrategias de seguimiento destinadas a pacientes pediátricos en actividad tumoral precisa del enfoque multidisciplinario dedicado a la monitorización cardiovascular desde la etapa previa al tratamiento.
 El análisis de cada uno de los detalles y peculiaridades inherentes a la mencionada modalidad de monitoreo establece su ruta crÃtica que se sustenta en la prevención sistemática, la estratificación de riesgo en conjunción al diagnóstico precoz de cardiotoxicidad y la medicación protectora del sistema cardiovascular.Palabras clave
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