Key Takeaways Cardio-oncology refers to cardiovascular care for patients receiving cancer treatment Also includes addressing cardiovascular complications (eg: heart failure) that result from cancer treatment Proactive cancer screening and earlier detection means that patients live longer with cancer and cardiovascular issues are becoming more prominent with increased survival Allows for more centralized care with shorter wait times to receive cardiovascular care Exercise provides a community for patients to come together and overcome their physical and mental challenges together A Closer Look The cardio-oncology clinic Heart failure & exercise education from nurses and allied healthcare providers is very important Exercise has improved quality of life in cancer patients, however large research studies have not yet been done on the effects of exercise Cancer patients are often excluded from large randomized control trials, practitioners can only extrapolate from the findings of available literature Lower mortality and better quality of life are clear benefits of exercise, but fatigue from chemotherapy is a challenge in motivating patients to exercise Reduced immunity from chemotherapy also creates a psychological fear and additional barrier for cancer patients to use the gym or other shared exercise facilities American Cancer Society has advocated for the benefits of interdisciplinary cardio-oncology clinics Located in the same hallway as the chemo clinic to be more accessible to cancer patients Chemotherapy regimens with anthracycline post a higher risk for cardiovascular disease 5-12% of cancer patients are treated with anthracycline Next steps for cardio-oncology Cardiac amyloidosis clinic starting up soon to provide targeted care for a subset of heart failure patients Awareness of the field and providing timely care is growing for both healthcare providers and patients Future projects: More work to be done with refining risk factor scores & algorithms to determine risk of cardiac toxicity from chemotherapy Using cellular level imaging to detect heart muscle dysfunction in order to establish earlier intervention & better patient outcomes Further Readings Solving Healthcare Podcast Website: solvinghealthcare.ca Solving Healthcare Apple Podcasts: https://podcasts.apple.com/us/podcast/solving-healthcare-with-dr-kwadwokyeremanteng/id1478899917 Check us out on iTunes: “Solving Healthcare with Dr. Kwadwo Kyeremanteng” Resource Optimization Network: https://www.resourceoptimizationnetwork.com/ Show Notes by Christina Yan Today show is sponsored by BetterHelp.com BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone. Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"
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