Essentials of cardio-oncology

Clin Med (Lond). 2023 Jan;23(1):52-55. doi: 10.7861/clinmed.2022-0588.

Abstract

Cardio-oncology is a subspecialty that provides cardiac care for patients with cancer. Newer oncological agents have not only increased survivorship, but also sprouted novel cardiovascular toxicity (CVT) involving any component of the cardiovascular system, albeit with some preferential targets. Patients with cancer should undergo a baseline cardiovascular risk assessment and have individualised surveillance planned during cancer therapy and post treatment. The early diagnosis of CVT, by clinical history and examination along with imaging and laboratory analysis, is paramount. Management includes cardioprotective strategies and multidisciplinary decision-making regarding the risk-benefit ratio of oncological treatment based on CVT.

Keywords: NEWS; deterioration; hypercapnia; patient safety; respiratory failure.

MeSH terms

  • Antineoplastic Agents* / adverse effects
  • Cardiotoxicity / diagnosis
  • Cardiotoxicity / drug therapy
  • Cardiotoxicity / epidemiology
  • Early Detection of Cancer
  • Humans
  • Medical Oncology / methods
  • Neoplasms* / complications
  • Neoplasms* / therapy

Substances

  • Antineoplastic Agents