Cancer Stories: The Art Of Oncology

Cardio-Oncology: When Two Life-Threatening Illnesses Collide

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Synopsis

Listen to ASCO’s Journal of Clinical Oncology essay, “Cardio-Oncology” by Dr. Daniel Rayson, clinical oncologist at Queen Elizabeth II Health Sciences Center. The essay is followed by an interview with Rayson and host Dr. Lidia Schapira. Rayson shares a personal experience working with a patient who has two life-threatening diseases. TRANSCRIPT Narrator: Cardio-Oncology, by Dr. Daniel Rayson (10.1200/JCO.21.00971)  I was asked to see a 64-year-old man in the coronary care unit (CCU) 4 days after he collapsed in his driveway after a seemingly normal day at work. His wife told the paramedics that he had been having episodes of chest pain in the past 2 weeks leading up to his dramatic homecoming and he was diagnosed with a myocardial infarction in the emergency room. An urgent cardiac catheterization revealed critical three-vessel coronary artery disease, and on the basis of his otherwise pristine past medical history, he was recommended to undergo coronary artery bypass surgery. His admission blood work, howeve