How to avoid heart damage in women receiving breast cancer treatment

WELLNEWS

Victor Romulo Gallardo Dumaguing, MD

AMSTERDAM, Netherlands — Women with breast cancer are set to be enrolled in a clinical trial examining the ability of behavioural and psychological interventions to reduce the heart damage from anti-cancer therapies. The innovative CARDIOCARE project is being conducted by a consortium of European partners including the European Society of Cardiology (ESC).
    “Cardiovascular disease is a devastating complication of anti-cancer treatment that affects physical and mental health,” said project coordinator Professor Dimitrios I. Fotiadis of the University of Ioannina, Greece. “CARDIOCARE will provide women over the age of 65 with breast cancer the tools to improve their physical health and to psychologically adapt to the disease.”
    Breast cancer is the most frequently occurring cancer in the EU, accounting for 13.3% of all new cancer cases in 2020.2 It is estimated that 1 in 11 women in the EU will develop breast cancer by the age of 74.2
    The five-year, EU-funded CARDIOCARE project (https://cardiocare-project.eu/) aims to radically change the management of older women with breast cancer. The project is harnessing the expertise of cardiologists, oncologists, psychologists, molecular biologists, bioinformaticians, computer scientists and biomedical engineers from seven countries across Europe (Greece, Italy, Cyprus, Slovenia, Sweden, the Netherlands and France) to improve the monitoring, treatment and care these patients receive.
    A clinical trial evaluating the impact of behavioural and psychological interventions on quality of life, physical and mental wellbeing, and the cardiotoxic effects of breast cancer treatment will be conducted in 750 patients with breast cancer at six clinical centres in Europe.3
    All patients in the trial will receive the CARDIOCARE mobile application (app). Participants will be randomly allocated to receive the app incorporating both ePsycHeart and eHealtHeart or to receive the app with ePsycHeart only. EPsycHeart will monitor quality of life, mobility and mental health using a wearable chest band heart rate sensor, smart watch and questionnaires. eHealtHeart will encourage patients in the intervention group to adopt behaviors including physical activity, healthy diet, games to improve memory and changing the home environment to reduce the risk of falls.
    Another major goal of the trial is the early identification of women with breast cancer at the greatest risk of heart and blood vessel damage from anti-cancer treatments. Cutting-edge technologies such as next generation sequencing will be used to pinpoint changes in gut microbe species that signal damage of the heart and blood vessels before symptoms occur. In addition, artificial intelligence will be used to analyse images of the heart to predict the likelihood of heart damage.
    Professor Fotiadis said: “CARDIOCARE is on track to improve the physical and mental health of older women with breast cancer by detecting the cardiovascular side effects of anti-cancer treatment early and providing digital tools to help patients improve their mental and physical wellbeing
    Chemotherapy treatment for breast cancer uses drugs to target and destroy cancer cells, either through a drip infusion, injected directly into an arm vein or taken by mouth as tablet or capsule, as another method to manage breast cancer in addition to surgery, radiation, and hormone therapy. The procedure involves cycles; the drug is given every three weeks for a total of six cycles; each session takes 1-6 hours. Routine blood counts especially for neutrophil and platelets are done before the administration of drug, with anti-nausea usually given to the patient. Side effects are bothersome in the first 2-3 days after the treatment, with fatigue, weakness, nausea and vomiting.
    Depending on the clinical decision of the doctor, chemotherapy can be done for breast cancers in Stage I,II, III. Some surgeons advise chemotherapy to shrink or reduce size of big cancer mass before operating. There is no single survival rate that applies to all cancers. Stage 0 and l of breast cancer promptly diagnosed and attended to have a 99% five-year survival rate.
    The Philippine Society of Medical Oncology has listed more than 12 hospitals all over the country where patients get free consultation with cancer experts; we have the Baguio General Hospital and Medical Center. For breast cancer survivors and patients, there are many support groups among them is the KASUSO Philippine Foundation for Breast Cancer Care Inc, at East Avenue Medical Center Quezon City