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Cancer, Cure, Cardio-Care π¬β
π« Not Every Survivor Needs a Cardiologist β But Every Heart Needs Attention
11/02/2025
Cancer, Cure, Cardio-Care π¬β
π« Not Every Survivor Needs a Cardiologist β But Every Heart Needs Attention
π©ΊποΈ Cardio-Oncology Insight: Not Every Breast Cancer Survivor Needs a Cardiologist As breast cancer survivorship grows, understanding who truly benefits from long-term cardiac follow-up becomes essential. An important editorial in JAMA Oncology underscores a key principle: risk-stratified care, not reflex surveillance. π©ββοΈπ Age and traditional cardiovascular risk factors outweigh treatment exposure (including anthracyclines and ERBB2 therapy) in driving late heart failure and cardiomyopathy risk among survivors . π₯π‘ Most survivors can be safely followed by primary care clinicians focused on: β’ Controlling blood pressure, diabetes, lipids β’ Encouraging physical activity & healthy weight β’ Monitoring symptoms and functional status β€οΈπ Select high-risk patients β older age, multiple CV risk factors, or treatment-related dysfunction β benefit most from targeted cardio-oncology evaluation. This editorial reminds us that precision survivorship means personalizing cardiac follow-up, emphasizing prevention, equity, and collaboration between oncology, cardiology, and primary care. π± Goal: Survivors who not only live longer β but live well. #CardioOncology #BreastCancer #Survivorship #HeartFailurePrevention #PrecisionMedicine #PrimaryCare #JAMAOncology #CancerCare #CardioOnc #PopulationHealth #AcademicMedicine
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