Cardio-Oncology

Cancer therapies have transformed survival but introduced new cardiovascular risks, making Cardio-Oncology essential for modern care. This session examines how chemotherapy, targeted agents, immunotherapies, and radiation can cause cardiomyopathy, ischemia, arrhythmias, hypertension, and thromboembolism. Participants will learn to recognize early warning signs, interpret biomarkers and imaging, and distinguish reversible dysfunction from permanent injury. The aim is to protect cardiac health without compromising the efficacy of life-saving cancer treatments.

Oncologists and cardiologists increasingly look for a cardiology conference to develop shared protocols and clinics. This session reviews pre-treatment risk assessment, including history, examination, baseline echocardiography, and biomarkers such as troponin and natriuretic peptides. Attendees will explore surveillance schedules tailored to different regimens (anthracyclines, HER2-targeted therapies, VEGF inhibitors, checkpoint inhibitors) and how to respond to early changes in function or symptoms. Case-based discussions highlight complex decisions, such as whether to pause therapy, adjust doses, or continue with cardioprotective strategies.

A central theme is managing cancer therapy–related cardiac dysfunction across the continuum of oncology care. Participants will examine heart failure regimens adapted to oncology patients, including ACE inhibitors, beta-blockers, ARNI, and SGLT2 inhibitors where appropriate. The session covers management of hypertension, QT prolongation, thromboembolic risk, and radiation-induced coronary or valvular disease. Emphasis is placed on close communication among cardio-oncology team members and on documenting shared decisions with patients who may face difficult trade-offs between cancer control and cardiac safety.

The session also explores survivorship and long-term follow-up for cancer survivors at elevated cardiovascular risk. Attendees will learn how to integrate lifestyle interventions, long-term screening, and transition plans from oncology-dominated care to primary and cardiovascular follow-up. By the end, participants will be better prepared to design cardio-oncology pathways that reduce treatment interruptions, preserve cardiac function, and support the growing population of cancer survivors.

Core Concepts in Cardio-Oncology Care

Baseline Risk Assessment and Preparation

  • Evaluating cardiovascular history, function, and risk factors before starting cardiotoxic therapies.
  • Stratifying patients into risk categories that guide surveillance intensity and preventive strategies.

Surveillance With Biomarkers and Imaging

  • Using echocardiography, strain imaging, and biomarkers to detect preclinical dysfunction.
  • Defining thresholds for action when subtle changes in LV function or biomarker levels appear.

Management of Cardiotoxicity and Vascular Effects

  • Initiating heart failure therapies promptly when dysfunction is identified.
  • Addressing hypertension, thrombosis, and vasospasm induced by targeted and immunotherapies.

Multidisciplinary Communication and Documentation

  • Facilitating real-time communication between oncology, cardiology, and primary care teams.
  • Recording shared decisions about therapy modifications, risks, and patient preferences clearly.

Impact on Patients and Health Systems

Fewer Unnecessary Treatment Interruptions
Early detection and proactive management allow more patients to complete effective cancer therapy.

Preserved Cardiac Function and Survival
Cardioprotective strategies reduce long-term heart failure and cardiovascular events in survivors.

Improved Patient Understanding of Risk
Clear explanations help patients balance cancer and cardiac considerations with confidence.

Stronger Oncology–Cardiology Partnerships
Formal cardio-oncology services streamline referrals and complex case management.

Data to Guide Future Practice
Registries and follow-up programs generate evidence for refining risk models and protocols.

 

Enhanced Survivorship Programs
Integrated cardio-oncology follow-up supports long-term quality of life after cancer treatment.

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