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Cardio-Oncology and Heart Failure: a Scientific Statement From the Heart Failure Society of America

Michelle Weisfelner Bloom1, Jacqueline B Vo2, Jo E Rodgers3

  • 1Division of Cardiology, NYU Langone Health, NYU Grossman School of Medicine, New York, NY.

Journal of Cardiac Failure
|October 17, 2024
PubMed

Insights

Heart failure and cancer care require specialized knowledge. This statement guides healthcare professionals in managing heart failure in cancer patients, addressing cardiotoxicity and improving outcomes.

Area of Science:

  • Cardio-oncology
  • Cardiovascular Medicine
  • Oncology

Background:

  • Heart failure and cancer are leading causes of death.
  • Cancer therapies can cause cardiovascular complications.
  • Cardiomyopathy in cancer patients indicates poor prognosis.

Purpose of the Study:

  • To provide guidance on heart failure management in cancer patients.
  • To address prevention, risk stratification, diagnosis, and management of cardiotoxicity.
  • To highlight shared risk factors and multidisciplinary care.

Main Methods:

  • Review of current literature and clinical practices.
  • Development of a framework for cardio-oncology care.
  • Discussion of heart failure stages, preserved ejection fraction, and special populations.

Main Results:

  • Cancer patients face increased cardiovascular risks from therapies.
  • Heart failure is a significant cardiotoxicity associated with cancer treatments.
  • Shared risk factors between cancer and heart failure exist.

Conclusions:

  • Cardio-oncology requires a multidisciplinary approach involving heart failure, oncology, and other specialists.
  • Effective management strategies are crucial for patients with cancer and heart failure.
  • Addressing disparities in care is essential for this complex patient group.

Keywords:
Heart failureand social determinantsbone marrow/stem cell transplantcancercancer survivorshipcancer treatment-related cardiac dysfunctioncardio-oncologycardiomyopathycardiotoxicityhealth disparitiesheart failure with preserved ejection fractionheart failure with reduced ejection fractionmechanical circulatory supportmultidisciplinary caremyocarditispalliative carepregnancypulmonary hypertensionstress cardiomyopathy

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