The breast cancer patient in the cardioncology unit

Daniela Cardinale1, Vincenzo Caruso1, Carlo M Cipolla1

  • 1Cardioncology Unit, Cardiology Division, IEO, European Istitute of Oncology, IRCCS, Milan, Italy.

Insights

Breast cancer treatments improve survival but can cause heart problems, especially in older patients. Cardioncology helps manage cardiovascular risks, protecting patients from heart disease during and after cancer therapy.

Area of Science:

  • Cardiology
  • Oncology
  • Cardio-oncology

Background:

  • Breast cancer management advances have improved survival rates.
  • Cardiovascular side effects are a significant concern, becoming the leading cause of mortality in older breast cancer survivors.
  • Managing cardiovascular risk is critical to prevent treatment-induced morbidity and mortality.

Purpose of the Study:

  • To highlight the importance of cardioncology in managing cardiovascular risks associated with breast cancer therapy.
  • To discuss strategies for risk stratification, early diagnosis, prevention, and treatment of cardiotoxicity.
  • To emphasize the interdisciplinary approach needed to minimize long-term cardiovascular disease in cancer patients.

Main Methods:

  • This review discusses the advantages of a cardioncology approach.
  • It covers risk stratification, monitoring for early diagnosis, prevention, and early treatment of cardiotoxicity.
  • The review emphasizes evidence-based indications and interdisciplinary expertise.

Main Results:

  • Cardioncology facilitates a proactive approach to cardiovascular health in breast cancer patients.
  • Early identification and management of cardiotoxicity can mitigate severe side effects.
  • An integrated cardiology-oncology strategy can prevent long-term heart disease and preserve therapeutic options.

Conclusions:

  • Cardioncology is essential for optimizing breast cancer treatment outcomes while preserving cardiac health.
  • Interdisciplinary collaboration is key to reducing cardiovascular morbidity and mortality.
  • Preventing 'the heart patient of tomorrow' is a primary goal of modern cancer care.

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