Our Cardio-Oncology Services

The Cardio-Oncology Program brings together cardiologists and oncologists to help cancer patients minimize adverse effects on your heart that may result from cancer therapies, including radiation. 


Understanding Cancer and Heart Disease

Senior woman smiling with clinicians in background

Cancer treatment can have both short- and long-term effects on the heart. Cardiotoxicity — damage to the heart caused by cancer therapies — can sometimes become more life-threatening than the cancer itself.

The most common cancers we help treat include:

  • Breast cancer
  • Lymphoma (notably Hodgkin's disease)
  • Gastrointestinal cancers
  • Certain types of leukemia

Frequently Asked Questions
about Cardiotoxicity

How We Can Help

Our goal is to help patients reduce their risk of cardiotoxicity and avoid stopping effective cancer therapies. The sooner cardiotoxicity is found, the more reversible it is.

Before Cancer Treatment

We evaluate patients for cardiovascular risk in relation to the benefit of your recommended cancer treatment, and provide cardiovascular therapies that reduce risk. Our intent is to maximize your survival.

During Chemotherapy

Using non-invasive imaging, including echocardiography, stress tests and cardiac MRI, we monitor the impact of your cancer treatment to quickly detect any damage to the heart muscle. When cardiotoxicity occurs, we collaborate with our oncology colleagues to assess the risks and benefits of continuing your cancer therapy versus the need to preserve cardiac function. We work with you to provide therapies to treat and repair heart failure and other conditions.

After Chemotherapy

The cardiotoxic effects of cancer therapies often occur years after treatment is complete (late cardiotoxicity). We identify patients at highest risk for late cardiotoxicity, and monitor patients in the years after cancer treatment, so that we can implement preventive therapies when needed.

Specialized Heart Failure Programs

Cardio-Oncology

This clinic offers optimization of chronic resynchronization therapy using echocardiography and electrophysiology in patients with less than optimal response to CRT therapy. To refer your patient, email aasnani@bidmc.harvard.edu.

Chronic Resynchronization Optimization Clinic

Heart failure specialists and cardio-oncologists manage patients with cardiac amyloidosis. Technetium Pyrophosphate (PYP) scanning, cardiac MRI, endomyocardial and bone marrow biopsies are available. To refer your patient, email HeartFailureReferrals@bidmc.harvard.edu.

Cardiac Amyloidosis Program

Heart failure specialists, electrophysiologists, rheumatologists, and pulmonologists work together to manage patients with cardiac sarcoidoisis. Cardiac/pulmonary PET scans and cardiac MRI are available. To refer your patient, email sarcoid.intake@bidmc.harvard.edu.

Multidisciplinary Cardiac Sarcoidosis Program

Level I & 3 CPET is available for patients with dyspnea due to heart failure and/or pulmonary disease. A Dyspnea Clinic is available to help decide the type of testing a patient may require as well as diagnose the cause of undifferentiated dyspnea. To refer your patient, email jrobbin1@bidmc.harvard.edu.