Cardio‐Oncology in the Era of the COVID‐19 Pandemic and Beyond

Author:

Addison Daniel12ORCID,Campbell Courtney M.1ORCID,Guha Avirup13ORCID,Ghosh Arjun K.4,Dent Susan F.5,Jneid Hani6ORCID

Affiliation:

1. Cardio‐Oncology Program Division of Cardiology Department of Internal Medicine The Ohio State University Medical Center Columbus OH

2. Division of Cancer Prevention and Control Department of Internal Medicine College of Medicine The Ohio State University Columbus OH

3. Harrington Heart and Vascular Institute Case Western Reserve University Cleveland OH

4. Cardio‐Oncology Service Bart’s Heart Centre St. Bartholomew’s Hospital West Smithfield London United Kingdom

5. Cardio‐Oncology Program Division of Medical Oncology Department of Internal Medicine Duke University Durham NC

6. Division of Cardiology Baylor College of Medicine Michael E. DeBakey VA Medical Center Houston TX

Abstract

Abstract Coronavirus disease 2019 (COVID‐19) has emerged as a global pandemic and public health crisis. Increasing waves of intermittent infectious outbreaks have dramatically influenced care among broad populations. Over the past 2 decades, there has been a rapid increase in cancer survival, with >400 000 new survivors each year. The increasingly common presence of cardiovascular disease in patients during or after cancer treatment led to the rapid growth of the field of cardio‐oncology with a mandate of identifying, treating, and preventing the various forms of cardiovascular disease seen among this population. This review evaluates the implications of the pandemic on the practice and study of cardio‐oncology. The evolving understanding of the relationship between comorbid disease and clinical outcomes among this population is assessed. With the impetus of the pandemic, cardio‐oncology can be deliberate in embracing changes to cardiac screening, monitoring, and intervention during oncology care. Bridging 2 specialties, consideration of the lessons learned in cancer and cardiovascular may pivotally inform ongoing therapeutic efforts. Further, the development of multicenter registries focused on understanding and optimizing outcomes among these patients should be considered. Together, these insights may critically inform strategies for the care of cardio‐oncology patients in future phases of the COVID‐19 pandemic and beyond.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Cardiology and Cardiovascular Medicine

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