The challenges that the COVID-19 pandemic cretead to the healthcare system have made it necessary to adapt routines and services, with the objectives of controlling the spread of the virus and preserving health. Safe and correct management of patients in risks groups, such as elderly patients, patients with cardiovascular diseases, and patients with cancer, has become even more important. Thus, cardio-oncology has gained a new dimension, with the aim of adapting to patients’ needs during the pandemic by restructuring the system of care in a manner that offers quality and safety in healthcare.
Cancer and Cardiovascular Diseases during the COVID-19 Pandemic
KawaharaLT, CostaIBSS, BarrosCCS, AlmeidaGC, BittarCS, RizkSI, TestaL, et al. Cancer and Cardiovascular Diseases during the COVID-19 Pandemic. Arq. Bras. Cardiol. 2020;115(3):547-5.
Kawahara,Lucas Tokio; Costa,Isabela Bispo Santos da Silva; Barros,Cecília Chie Sakaguchi; Almeida,Gabriel Coelho de; Bittar,Cristina Salvadori; Rizk,Stephanie Itala; Testa,Laura; Moniz,Camila Motta Venchiarutti; Pereira,Juliana; Oliveira,Gláucia Maria Moraes de; Diz,Maria Del Pilar Estevez; Guimarães,Patricia Oliveira; Pinto,Ibraim Masciarelli; Kalil Filho,Roberto; Hajjar,Ludhmila Abrahão; Hoff,Paulo M.. Cancer and Cardiovascular Diseases during the COVID-19 Pandemic. Arq. Bras. Cardiol., v. 115, n. 3, p. 547-557, Sep. 2020.
Kawahara,L.T., Costa,I.B.S.S., Barros,C.C.S., Almeida,G.C. , Bittar,C.S., Rizk,S.I., Testa,L., Moniz,C.M.V., Pereira,J., Oliveira,G.M.M. , Diz,M.D.P.E., Guimarães,P.O., Pinto,I.M., Kalil Filho,R., Hajjar,L.A., & Hoff,P.M. (2020). Cancer and Cardiovascular Diseases during the COVID-19 Pandemic. Arq. Bras. Cardiol.,115(3), 547-557.
Kawahara,Lucas Tokio and Costa,Isabela Bispo Santos da Silva and Barros,Cecília Chie Sakaguchi and Almeida,Gabriel Coelho de and Bittar,Cristina Salvadori and Rizk,Stephanie Itala and Testa,Laura and Moniz,Camila Motta Venchiarutti and Pereira,Juliana and Oliveira,Gláucia Maria Moraes de and Diz,Maria Del Pilar Estevez and Guimarães,Patricia Oliveira and Pinto,Ibraim Masciarelli and Kalil Filho,Roberto and Hajjar,Ludhmila Abrahão and Hoff,Paulo M.. Cancer and Cardiovascular Diseases during the COVID-19 Pandemic. Arq. Bras. Cardiol. [online]. 2020, vol. 115, n. 3, [cited 2025-09-07], pp.547-557. Available from: <https://abccardiol.org/en/article/cancer-and-cardiovascular-diseases-during-the-covid-19-pandemic/>. ISSN 0066-782X.
Figure 1
– Intersection between cancer, the heart, and COVID-19. Hypertension, advanced age, diabetes, obesity, and smorkers use are risk factors shared by these three diseases. Management of cancer in COVID-19 aims to avoid unnecessary visits to healthcare services, given that patients in oncological treatment are immunosuppressed, and they are more susceptible to developing complications of COVID-19. The most severe forms of COVID-19, manifested by hypoxemia and ARDS, result from the systemic inflammatory process, with increased inflammatory cytokines and pro-thrombotic factors. Cardiovascular complications, such as thrombosis, arrhythmias, myocarditis, and ventricular dysfunction, are frequent in this population. ACE2: angiotensin-converting enzyme 2; ARDS: acute respiratory distress syndrome; IL-6: interleukin-6; LVEF: left ventricular ejection fraction; SIRS: systemic inflammatory response syndrome. Chemo: chemotherapy; Radio: radiotherapy; Immuno: Immunotherapy. BNP: brain natriuretic peptide.