Table 1: ABCDEs to Promote Cardiovascular Wellness in Cancer Survivorsc.
| A | • Awareness of risks and presentation of heart disease • Assessment of cardiovascular disease and cardiovascular risk • Aspirin use as appropriate (indicated for secondary prevention; clinician-survivor discussion required for primary prevention with careful weighing of benefits and risks) |
| B | • Blood pressure monitoring/management (with clinician-survivor discussion regarding the use of hypertension treatment and blood pressure goals) |
| C | • Cholesterol assessment/management (with clinician-survivor discussion regarding the use of statin therapy for primary prevention and lipid profile goals) • Cigarette/tobacco cessation (See NCCN Guidelines for Smoking Cessation) |
| D | • Diet and weight management (See SNWM-1) • Dose (cumulative) of anthracyclines and/or radiation to heart • Diabetes mellitus prevention/treatment |
| E | • Exercise (See SPA-1) • Echocardiogram and/or EKG based on individual risk |
c
Adapted with permission from Montazeri K, Unitt C, et al. ABCDE Steps to Prevent Heart Disease in Brest cancer Survivors. Circulation 2014:130:e157–e159.