Chemotherapy, a common treatment using chemicals to destroy malignant cells, is often prescribed for lung cancer patients. However, for individuals with pre-existing heart conditions, a critical concern is cardiotoxicity. This side effect, caused by certain chemotherapy drugs, can lead to reduced heart contractility, arrhythmias, high blood pressure, and coronary artery damage.
To mitigate these risks, oncologists and cardiologists collaborate closely to develop an individualized treatment regimen. All cancer patients slated for chemotherapy, especially those with underlying cardiovascular conditions, must undergo a comprehensive cardiology examination before starting treatment. This assessment evaluates baseline cardiovascular health, identifies other risk factors, and stratifies overall risk. It typically includes checking cardiac enzyme levels, an electrocardiogram, an echocardiogram, and potentially a coronary angiogram.
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Doctor Tran Hai Binh advises a patient preparing for chemotherapy. Photo: Tam Anh General Hospital |
During cancer treatment, patients receive regular clinical and subclinical cardiovascular re-evaluations. Should any cardiovascular abnormalities appear, doctors assess whether to continue the regimen, adjust the dose, discontinue the medication, or switch drugs to safeguard heart health.
Following the completion of cancer treatment, patients require regular check-ups to monitor for both cancer recurrence and potential cardiovascular complications.
Patients are consistently examined and monitored, allowing doctors to carefully weigh the benefits and risks of chemotherapy against potential cardiovascular complications. Therefore, you and your family should avoid undue worry or delaying treatment independently. During chemotherapy, if the patient experiences any unusual signs, such as shortness of breath, fatigue, leg swelling, or chest pain, the family must immediately inform the doctor for prompt examination and diagnosis.
Dr. Tran Hai Binh
Deputy Head, Oncology Department
Tam Anh General Clinic, Cau Giay
