Chemotherapy side effects: A cause of heart disease?
Can chemotherapy increase the risk of heart problems?
Yes. Some chemotherapy medicines can increase the risk of heart complications. Heart complications also can happen with other cancer treatments. These other treatments include targeted therapy medicines, immunotherapy treatments and radiation therapy.
Examples of cancer treatment complications that can affect the heart include:
Whether you're at risk of heart complications during and after cancer treatment depends on many factors. It depends on how healthy your heart and blood vessels are to begin with. It also depends on the treatment you receive. Some medicines carry a higher risk of heart complications in general or if given at a higher dose. People who already have heart conditions may be at higher risk.
Before starting cancer treatment, a member of your healthcare team may ask you about any history of heart or blood vessel diseases. You may have heart function testing, especially if your cancer treatment may affect your heart. If you have a preexisting heart condition, you might need a different treatment or a different medicine.
During cancer treatment, you may need occasional heart monitoring. This may involve blood tests and checking your blood pressure and heart rate. It also might involve an electrocardiogram or an ultrasound evaluation of your heart. The frequency of the monitoring depends on the type of treatment you receive. Monitoring might continue after treatment too.
At some medical centers, including at Mayo Clinic, heart doctors and cancer doctors work together to care for people who have a risk of heart complications before, during and after cancer treatment. Heart doctors are called cardiologists and cancer doctors are called oncologists, so this area of medicine is sometimes called cardio-oncology.
Updated on Oct 17, 2024
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