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Published on: January 21, 2018
The management of cancer patients with heart disease
Kalina Kawecka-Jaszcz1, Agnieszka Bednarek
1I Klinika Kardiologii i Nadciśnienia Tetniczego, Instytutu Kardiologii, Uniwersytet Jagielloński, Collegium Medicum, Kraków.
Insights
Cancer patients often have heart disease. This study details assessing cardiovascular risk before cancer treatment and managing heart conditions during chemotherapy or radiotherapy to prevent cardiotoxicity.
Area of Science:
- Cardiology
- Oncology
- Cardio-oncology
Background:
- Cardiovascular disease and cancer are leading global causes of death, frequently co-existing in patients.
- Cancer therapies like chemotherapy and radiotherapy can cause cardiotoxicity, impacting patient outcomes.
- Managing cardiac conditions in cancer patients is crucial for effective treatment and survival.
Purpose of the Study:
- To outline cardiovascular risk assessment strategies before initiating cancer therapy.
- To describe methods for monitoring patients undergoing potentially cardiotoxic cancer treatments.
- To provide guidance on managing pre-existing heart conditions during oncology care.
Main Methods:
- Review of cardiovascular risk factors in cancer patients.
- Description of risk stratification tools for baseline cardiac assessment.
- Outline of monitoring protocols for cardiotoxicity during cancer treatment.
- Guidance on managing heart failure, coronary artery disease, and hypertension.
Main Results:
- Identification of key cardiovascular risk factors relevant to cancer patients.
- Establishment of a framework for pre-treatment cardiac risk evaluation.
- Protocols for vigilant monitoring of cardiac function during therapy.
- Strategies for managing common cardiovascular diseases in the context of cancer treatment.
Conclusions:
- Proactive cardiovascular risk assessment is essential for patients undergoing cancer treatment.
- Continuous monitoring and tailored management of cardiac conditions can mitigate cardiotoxicity.
- Integrated cardio-oncology care improves outcomes for patients with co-existing cancer and heart disease.
Abstract:
Cardiovascular disease and cancer are the two leading causes of death in the world, therefore a patient may have cancer, but also heart disease. Intensive cancer treatment, including chemotherapy and radiotherapy, improves the prognosis, reduces mortality and lengthens patients' lives but it is also associated with cardiotoxicity. This paper describes cardiovascular risk factors and methods for the estimation of individual risk before initiation of oncology treatment in subjects at high baseline risk of heart disease. We also describe the way of monitoring patients receiving potentially cardiotoxic treatment and the management of congestive heart failure, coronary artery disease and hypertension in these subjects.
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