{"id":7563,"date":"2025-08-21T09:17:38","date_gmt":"2025-08-21T09:17:38","guid":{"rendered":"https:\/\/www.viamedsalud.com\/ivoqa\/?p=7563"},"modified":"2025-08-26T09:55:58","modified_gmt":"2025-08-26T09:55:58","slug":"cardiotoxicity-in-cancer","status":"publish","type":"post","link":"https:\/\/www.viamedsalud.com\/ivoqa\/en\/treatments\/side-effects\/cardiotoxicity-in-cancer\/","title":{"rendered":"Cardiotoxicity in cancer: how chemotherapy affects the heart and how to prevent it"},"content":{"rendered":"<p>In a new installment of the series <em>Beyond the Tumor: Answering Questions on Ovarian and Breast Cancer<\/em>, organized by IVOQA and AMOH Asociaci\u00f3n, Dr. Sergio Garc\u00eda Ortego, cardiologist at Viamed Santa Elena University Hospital, addresses a crucial but often overlooked issue: the effects of chemotherapy on cardiovascular health. These complications fall under the field of cardio-oncology, an emerging discipline that combines oncology and cardiology expertise to provide comprehensive and safe care.<\/p>\n<p>&nbsp;<\/p>\n<div style=\"position: relative; padding-bottom: 56.25%; height: 0; overflow: hidden; max-width: 100%; margin: 1em 0;\">\n  <iframe \n    src=\"https:\/\/www.youtube.com\/embed\/KienPylt_aQ?rel=0&#038;modestbranding=1&#038;playsinline=1\"\n    frameborder=\"0\"\n    allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\"\n    allowfullscreen\n    style=\"position: absolute; top:0; left:0; width:100%; height:100%;\"><br \/>\n  <\/iframe>\n<\/div>\n<p>&nbsp;<\/p>\n<h2><strong>What is chemotherapy-induced cardiotoxicity?<\/strong><\/h2>\n<p>Cardiotoxicity is a potential side effect of certain cancer treatments, particularly some types of chemotherapy and targeted therapies. It refers to the damage these drugs may cause to the heart, impairing its function and increasing the risk of developing cardiovascular disease. This effect may appear acutely during treatment or manifest later, even years after cancer therapy has ended.<\/p>\n<p>&nbsp;<\/p>\n<h2><strong>Which treatments can affect the heart?<\/strong><\/h2>\n<p>The treatments most strongly associated with cardiotoxicity include:<\/p>\n<ul>\n<li>Anthracyclines (such as doxorubicin)<\/li>\n<li>Trastuzumab (used in HER2+ breast cancer)<\/li>\n<li>Immune checkpoint inhibitors<\/li>\n<li>Chest radiotherapy when the cardiac area is involved<\/li>\n<\/ul>\n<p>These treatments can lead to a range of complications, from mild ventricular dysfunction to heart failure, arrhythmias, or hypertension. For this reason, it is essential to monitor cardiac function before, during, and after cancer therapy, especially in patients with breast cancer, lymphoma, or other tumors requiring aggressive treatment regimens.<\/p>\n<p>&nbsp;<\/p>\n<h2><strong>How can heart damage be prevented?<\/strong><\/h2>\n<p>Dr. Garc\u00eda Ortego highlights the importance of cardiology assessment prior to initiating cancer treatment, particularly in patients with cardiovascular risk factors. Preventive strategies include:<\/p>\n<ul>\n<li>Monitoring with echocardiograms before, during, and after treatment<\/li>\n<li>Using cardiac biomarkers (such as troponins or BNP) to detect early damage<\/li>\n<li>Controlling risk factors: managing blood pressure, cholesterol, diabetes, and quitting smoking<\/li>\n<li>Prescribing cardioprotective medications in selected patients<\/li>\n<\/ul>\n<p>These measures are part of current preventive cardio-oncology protocols, designed to minimize adverse cardiovascular effects without compromising the effectiveness of cancer treatment.<\/p>\n<p>&nbsp;<\/p>\n<div style=\"max-width: 800px; margin: 2em auto; font-family: Segoe UI, Arial, sans-serif;\">\n<h2 style=\"font-size: 1.8em; color: #005b99; font-weight: 600;\">Frequently Asked Questions about Cardiotoxicity and Cancer<\/h2>\n<div style=\"border-left: 4px solid #005b99; padding-left: 1em; margin-bottom: 1.5em;\">\n<div style=\"font-weight: 600; font-size: 1.2em; color: #005b99;\">What is cardio-oncology?<\/div>\n<div style=\"color: #444; font-size: 1em;\">It is a medical subspecialty focused on the prevention, detection, and treatment of cardiovascular side effects associated with cancer therapies.<\/div>\n<\/div>\n<div style=\"border-left: 4px solid #005b99; padding-left: 1em; margin-bottom: 1.5em;\">\n<div style=\"font-weight: 600; font-size: 1.2em; color: #005b99;\">Do all cancer treatments damage the heart?<\/div>\n<div style=\"color: #444; font-size: 1em;\">No. Only certain drugs carry a risk of cardiotoxicity, and that risk depends on the dosage, duration of treatment, and the patient\u2019s overall health condition.<\/div>\n<\/div>\n<div style=\"border-left: 4px solid #005b99; padding-left: 1em; margin-bottom: 1.5em;\">\n<div style=\"font-weight: 600; font-size: 1.2em; color: #005b99;\">How do I know if I am at risk of cardiotoxicity?<\/div>\n<div style=\"color: #444; font-size: 1em;\">If you have a history of cardiovascular disease, high blood pressure, high cholesterol, or diabetes, it is important to undergo a cardiology evaluation before starting treatment.<\/div>\n<\/div>\n<div style=\"border-left: 4px solid #005b99; padding-left: 1em; margin-bottom: 1.5em;\">\n<div style=\"font-weight: 600; font-size: 1.2em; color: #005b99;\">Can chemotherapy continue if heart damage occurs?<\/div>\n<div style=\"color: #444; font-size: 1em;\">It depends on the case. Sometimes the dosage is adjusted, the treatment is changed, or cardioprotective medication is added to allow therapy to continue safely.<\/div>\n<\/div>\n<div style=\"border-left: 4px solid #005b99; padding-left: 1em;\">\n<div style=\"font-weight: 600; font-size: 1.2em; color: #005b99;\">Where can I receive specialized cardiovascular monitoring during cancer treatment?<\/div>\n<div style=\"color: #444; font-size: 1em;\">At centers such as Viamed Santa Elena University Hospital and IVOQA, where cardio-oncology units integrate both oncological and cardiological care.<\/div>\n<\/div>\n<\/div>\n<p><script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@type\": \"FAQPage\",\n  \"mainEntity\": [\n    {\n      \"@type\": \"Question\",\n      \"name\": \"What is cardio-oncology?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"It is a medical subspecialty focused on the prevention, detection, and treatment of cardiovascular side effects associated with cancer therapies.\"\n      }\n    },\n    {\n      \"@type\": \"Question\",\n      \"name\": \"Do all cancer treatments damage the heart?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"No. Only certain drugs carry a risk of cardiotoxicity, and that risk depends on the dosage, duration of treatment, and the patient\u2019s overall health condition.\"\n      }\n    },\n    {\n      \"@type\": \"Question\",\n      \"name\": \"How do I know if I am at risk of cardiotoxicity?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"If you have a history of cardiovascular disease, high blood pressure, high cholesterol, or diabetes, it is important to undergo a cardiology evaluation before starting treatment.\"\n      }\n    },\n    {\n      \"@type\": \"Question\",\n      \"name\": \"Can chemotherapy continue if heart damage occurs?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"It depends on the case. 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