Cardio-oncology program

Cardio-oncology is a subspecialty within cardiology for patients at higher risk of heart complications after undergoing chemotherapy or radiation. While highly effective, these treatments – and other medications a patient takes during cancer treatment – can damage the heart and blood vessels. They can put you at higher risk of heart complications during cancer treatment and for several months or years after.

Our Cardio-Oncology Program brings together heart specialists (cardiologists) and cancer specialists (oncologists). They work together to get you the best care possible. We offer the most advanced technology to monitor your heart at all stages of your cancer treatment and recovery.

What is cardio-oncology?

The field of cardio-oncology has expanded a lot in the last 10 years. Our cardiologists were some of the first in the country to develop an integrated cardiac oncology program. We work with patients who:

• Were recently diagnosed with cancer and have not started treatment yet
• Are currently undergoing chemotherapy or radiation treatment
• Completed cancer treatment and need regular monitoring or screening

Unfortunately, many patients wait until they finish cancer treatment to see a cardiologist for the first time. Earlier detection often means more treatment options and better outcomes for your heart health. Waiting longer could lead to more serious heart conditions that require more invasive or advanced treatment.

Cardio-oncology treatment

Our cardiologists create an individualized treatment plan working directly with your oncologist. All your treatments are completely coordinated so you get streamlined care from a multidisciplinary team of specialists. We communicate and share information throughout the entire treatment process to improve your care.

Our cardio-oncologists also work closely with specialists outside Advocate Health Care. You can participate in our Cardio-Oncology Program no matter where you get your oncology care.

Effects of cancer treatment on the heart

Chemotherapy and radiation are still the best and most effective treatment options for fighting many types of cancer. But they can also cause damage to blood vessels and the heart muscle. These treatments put you at higher risk of:

• Blood clots
• Coronary artery disease/heart attack
• Heart failure
• Heart rhythm conditions
• High blood pressure
• Peripheral artery disease (PAD)
• Structural heart disease, such as valve disorders

Early detection and monitoring can also prevent interruptions in cancer treatment because of a heart problem. Patients who experience heart issues may have to pause chemotherapy or radiation. This is a difficult decision for patients and oncologists to make.

The Cardio-Oncology Program at Advocate Heart Institute

Patients in our program have access to the best heart care, including:

• Prescreening tool: Our cardio-oncologists developed a tool to identify who is at the highest risk of cardiac problems during cancer treatment. We share it with providers inside and outside of Advocate Health to find patients who need cardio-oncology care.
• Advanced diagnostic tests: We have all the necessary technology and diagnostic tests to detect heart risks and heart conditions.
• Heart monitoring during treatment: We meet with patients regularly during cancer treatment for a physical exam and tests, if necessary. During these visits we look for any signs of new or worsening cardiac side effects.
• Ongoing heart monitoring: We develop a plan after your cancer treatment ends and discuss the next steps with you. Some people only need monitoring for a short time, while others need long-term monitoring.

Specialized heart treatment for pediatric cancer patients

Today we have more effective treatments for children diagnosed with cancer. An increasing number of children recover from cancer treatment and live for many more years. However, they could be at higher risk of heart complications. It’s important for pediatric cancer patients to establish care with a cardiologist early to monitor long-term heart health.

Pediatric cancer survivors are also at higher risk of developing conditions that are linked to heart disease, including:

• Coronary artery disease
• Diabetes
• High blood pressure
• Obesity

Preventing heart problems requires regular monitoring by a cardiologist who understands the risks based on their medical history. In the program, cardiologists and pediatric oncologists collaborate to provide better care during and after pediatric cancer treatment.