Quote
American Heart Association
Patients who have undergone radiation should be screened and aggressively treated for cardiovascular risk factors such as hypertension, dyslipidemia, diabetes, obesity, inactivity, and smoking. The American Society of Echocardiography has proposed guidelines in 2013 for screening of radiation‐induced cardiovascular disease, recommending to screen with transthoracic echocardiogram, cardiac magnetic resonance imaging, or coronary computed tomography angiography in patients who have received more than 35 Gy of radiation, either 5 years after completion of therapy or after ages 30 to 35 years old, whichever is last (Figure 4). Any new cardiac symptoms should warrant investigation.60 Hence, cardiovascular disease should be screened for diligently and according to current guidelines in patients having received radiation.