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Cardio-oncology emerges as important specialty as cancer treatments advance, patients live longer

Chris Fine, MD, reviews echocardiogram images at the National Institute of Health. Dr. Fine is a cardiologist-oncologist, a specialist in obstetrics and gynecology who works with a patient’s cancer team to reduce the risk of heart events, protect their heart during treatment and monitor their risk after remission. Credit: National Jewish Health

While cancer patients and their doctors are focused on eliminating their disease, there is often a life-threatening health issue that arises throughout the course of treatment. Cancer treatments such as chemotherapy, radiation and immunotherapy can each cause specific damage to the heart. As cancer treatment progresses and more patients survive, heart-oncologists at the National Jewish Health Center are focusing on the health of cancer patients to ensure they are strong enough to withstand treatment and note the increased risk of heart disease for years to come.

“I am with my entire patient cancer walk well after forgiveness. It is my job to make sure that every patient’s heart is in good health, so that they can focus on their mental and physical strength where it is needed, and that I am suffering from cancer, ”said Chris Fine. , MD, cardiologist at the National Jewish Health Association. “We monitor the heart carefully, we plan for patients’ risk to cause adverse effects and to intervene early, before patients experience symptoms. The goal is not only to protect their heart in the future, but also to avoid discontinuation of cancer treatment due to concerns that their heart is weak. “

Heart disease can occur in the first few months of treatment or after 20 years. Each treatment comes with different side effects, but may include additional risks for heart attackstroke and heart failure caused by atherosclerotic disease, valve disease and hardening of the arteries or heart wall.

Cardiologists work with other cancer care providers to make good decisions throughout their treatment and to provide quality care that takes into account the health of patients as a whole, rather than cardiology and cancer. They see patients for routine imaging and testing through echocardiograms, EKGs and blood tests.

Cancer treatments such as chemotherapy, radiation and immunotherapy can each cause specific damage to the heart. As cancer treatment progresses and more patients survive, heart-oncologists at the National Jewish Health Center are focusing on the health of cancer patients to ensure they are strong enough to withstand treatment and note the increased risk of heart disease for years to come. Credit: National Jewish Health

“Historically, cardio-oncology has not been a discipline because we have cancer and it is too late and the prognosis for cancer patients is poor. So, they have never had a chance to develop coronary heart disease,” he said. from Dr. Fine. “As tests and treatments progress and more patients live longer, cardiopulmonary resuscitation needs to be an integral part of care. Cardio-oncologists are fully equipped to understand the risks involved in the specific nature of each. patients and a combination of heart and cancer. care to achieve the best possible outcome. “

For Janet Schmidtlein-Sparling, Dr. Fine is not only an integral part of the cancer control team, but also an integral part of the support system that helps women continue to fight. Schmidtlein-Sparling was diagnosed with the disease colorectal cancer in 2016, which has since moved to different parts of her body.

“The first time I met Dr. Fine I told him,‘ I’m not ready to get bored yet, ’and he said,‘ Well I’m going with you, ’Schmidtlein-Sparling said. “It is good to know you have a doctor who will be there to support you cancer treatmentnotice what cancer and these drugs do to your body and help you survive while you are pregnant. “

Cardio-oncology emerges as an important specialist as cancer treatment progresses, patients live longer

Chris Fine, MD, runs the EKG on Janet Schmidtlein-Sparling at the National Jewish Health Center. Schmidtlein-Sparling’s cancer treatment affected her heart, and as a cardiologist, Drs. Fine works with the cancer team to keep her heart as low as possible during treatment. Credit: National Jewish Health

In addition to regular EKG, Dr. Fine also asked Schmidtlein-Sparling to use the app on her phone to enter daily data for things like high blood pressure, exercise, diet and blood oxygen levels. They study the data together to identify any changes that affect her heart health.

“Prevention is important, and there are many issues that we can see coming by just looking at the data in your hand. We can detect changes in weeks or months through data on the monitoring application “It’s simple, and there are treatments and appropriate measures. We can implement it early, early in the diagnosis of these heart-related diseases,” said Dr. Fine. “And, although cancer patients often feel tired or have reduced appetite, it is important to find a professional doctor who encourages them to keep working and eating a healthy diet, which can have a significant impact on their heart and health entirely during nursing. “

As the field of cardiology and heart disease increases, experts say it is important for patients to be aware of the risks involved, and to advise themselves by seeking the care of a cardiologist, who specializes in diagnosing how their mental health works in general. with them cancer care. It is also important to continue to see a cardiologist-oncologist after an apology, because cancer survivors are twice as likely to die from heart disease than the general population.


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hint: Cardio-oncology emerges as an important specialist as cancer treatment progresses, patients live longer (2022, June 27) recovered 27 June 2022 from https://medicalxpress.com/news/2022- 06-cardio-oncology-emerges-important-specialty-cancer.html

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