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Published on: January 21, 2018
Cardio-oncology: a new medical issue
D Cardinale1, A Colombo, G Lamantia
1Cardiology Unit and Laboratory Medicine Unit, European Institute of Oncology, IRCCS, 20141 Milan, Italy. daniela.cardinale@ieo.it
Insights
Cardio-oncology addresses the growing need for managing cancer patients with heart conditions. This field focuses on preventing, diagnosing, and treating heart problems arising from cancer and its treatments.
Area of Science:
- Cardiology
- Oncology
- Cardio-oncology
Background:
- Increasing numbers of cancer survivors and aging populations lead to more patients with co-existing cancer and cardiovascular diseases.
- Cancer treatments can increase the risk of developing cardiovascular problems, necessitating specialized management.
- A growing patient population requires integrated care to optimize treatment and preserve therapeutic options.
Purpose of the Study:
- To establish a new discipline, cardio-oncology, to manage patients with cancer and cardiovascular co-morbidities.
- To investigate novel strategies and gather evidence-based indications for managing these complex patients.
- To foster interdisciplinary expertise for comprehensive patient care.
Main Methods:
- Focus on early diagnosis of cardiotoxicity.
- Implementing risk stratification and preventive measures.
- Developing effective treatment and monitoring protocols for cardiotoxicity.
Main Results:
- Cardio-oncology provides a framework for addressing the complex needs of cancer patients with cardiac issues.
- The discipline aims to improve patient outcomes by integrating cardiac care into oncology.
- Research and clinical practice are evolving to meet the challenges of cardiotoxicity.
Conclusions:
- Cardio-oncology is essential for managing the rising incidence of cancer and cardiovascular co-morbidities.
- This interdisciplinary field is crucial for optimizing treatment and preventing adverse cardiovascular events in cancer patients.
- Further development of strategies for diagnosis, prevention, and treatment of cardiotoxicity is ongoing.
Abstract:
Due to the increasing number of long-term cancer survivors, the ageing of the population, as well as the increased incidence and prevalence of oncologic and cardiovascular diseases, the number of patients presenting oncologic and cardiologic co-morbidities are increasing. Accordingly, there is a rapidly growing need for a comprehensive and proficient management of patients in whom the two co-morbidities exist, and for cancer patients whose clinical history and oncologic treatment put them at higher risk for developing cardiovascular problems, in order to provide the optimal treatment in every situation, and to avoid the possibility that the development of the second disease does not lead to a reduction of therapeutic opportunities for the patient. A new discipline, cardio-oncology, has been created to deal with this need. Its aim is to investigate new strategies, collect new evidence-based indications and develop interdisciplinary expertise in order to manage this growing category of patients. Cardio-oncology deals with the following main clinical and research areas: early diagnosis of cardiotoxicity, risk stratification and preventions, treatment and monitoring of cardiotoxicity.
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