Onco-Cardiology
- What is Onco-cardiology?
- Which cancer patients are at a high risk for heart disease?
- How do you know you have heart disease?
- What are the different types of cardiac disorders in cancer therapy?
- What steps should be followed in the diagnosis of cardiac conditions undergoing cancer therapy?
- How can these conditions be managed and treated?
- How can we help?
The unique heart health challenges faced by cancer patients and survivors is often that, the treatments that help to fight cancer, can also cause damage to the heart( As chemotherapeutic agents are cardiotoxic). They cause various serious heart-related conditions of which heart failure, blocks in the heart vessels, and valve diseases are common. At Care For Your Heart clinic, our Onco-cardiologist will help you to prevent, detect and treat such heart diseases, using the latest technology and updated medical knowledge about Onco-cardiology.
- It includes patients undergoing:
- Chemotherapy with anthracyclines drugs, which include: Epirubicin (Ellence), Idarubicin damycin), Valrubicin (Valstar)
- Chemotherapy with some other drugs, which include mitoxantrone (Novantrone)
- Certain targeted therapies include: Bevacizumab (Avastin), Trastuzumab (Herceptin), etc.
- Chest radiation.
- Fatigue
- Discomfort or pain in the chest
- Shortness of breath
- Lightheadedness or dizziness
- Swollen hands and/or feet
- Cardiomyopathy and congestive heart failure (CHF): Heart damage-causing abnormality in the pumping of the heart
- Myocarditis: Heartbeat affected by swelling of the heart.
- Coronary artery disease: Blood vessels of the heart blocked
- Arrhythmia: irregular heartbeat
- Heart valve damage: the valves become either narrow and stiffen or leak
- Abnormality of the outer membrane include:
- Swelling (pericarditis)
- Thickening or scarring (pericardial fibrosis)
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- Physical examination to check heartbeats and sound of blood
- Patients with a history of heart disease should undergo a complete cardiac profile (e.g. routine evaluation of cardiac enzymes through blood tests like troponin I and B-type natriuretic peptide (BNP) before initiation of chemotherapy along with an ECG and 2D-Echo.
- Chest X-ray and angiogram are also advised if required.
- Assessment of left ventricular function by 2D echocardiography
- In cases of arrhythmias (abnormal heartbeats), appropriate documentation along with routine oncologic evaluation should be done.
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- Management includes the following:
- Giving an alternative drug.
- Reducing dosage or changing the route of administration of the drug.
- Giving additional drugs which are cardio-protective
- Reducing radiation therapy to the heart.
- Treatment options include:
- Medication:
Use of angiotensin receptor blockers, angiotensin-converting enzyme inhibitors, or beta-blockers are considered to prevent cardiac disorders.
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- We can help you in the following ways:
- We help to enhance the functioning of the heart before any cancer-related procedures by evaluating you and providing appropriate medical care.
- We help to minimize heart damage caused by cancer treatment by providing the required treatment.
- We also help in the management of heart damage due to previous cancer therapies.
- We can help you in the following ways:
At Care For Your Heart we provide comprehensive cardiac treatment to all our patients.
+91 8828473147
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Call us now if you are in a medical emergency.
For Interventions :
Wockhardt Heart Institute (Mumbai Central), Fortis Raheja Hospital (Mahim), Breach Candy Hospital (Peddar Road), Masina heart institute (Byculla), Somaiya Superspeciality Hospital (Sion)