Cardio-oncology at the German Clinic Marbella – Heart health and cancer treatment in harmony
Modern oncology medicine saves many lives today; however, at the same time, cancer treatment can affect the cardiovascular system. At German Clinic Marbella, we focus on cardio-oncology through a specialized interdisciplinary approach: a sensitive interaction between cancer therapy and heart health. The goal is to detect potential heart damage early, minimize risks, and provide comprehensive patient care.
Oncological therapies with effects on the heart
Various types of cancer treatments can directly or indirectly affect the heart. Among the most significant cardiotoxic treatments are:
- Chemotherapies such as anthracyclines (e.g., doxorubicin), which can damage heart muscle cells and cause heart failure.
- Targeted therapies such as HER2 inhibitors (e.g., trastuzumab), which may reduce cardiac output.
- Radiation therapy to the thoracic area , which increases the risk of coronary heart disease.
- Immunotherapies such as immune checkpoint inhibitors, which can cause inflammatory reactions in the heart muscle (myocarditis).
- Hormonal therapies , such as those for breast or prostate cancer, can negatively affect blood pressure, lipid metabolism, and blood vessels.
Possible side effects on the cardiovascular system
Depending on the type of therapy, dose, and preexisting conditions, several cardiac complications can occur in cancer patients, including:
- Heart failure (decreased pumping function)
- Cardiac arrhythmias
- High blood pressure
- Coronary heart disease
- Myocarditis (inflammation of the heart muscle)
- Vascular changes and risks of thrombosis
Early detection through modern diagnostics
At German Clinic Marbella, we offer routine cardiology diagnostics for cancer patients to detect potential cardiac damage early. The methods used include:
- Echocardiography to assess cardiac function
- Resting and stress ECG to detect arrhythmias
- Cardiac MRI and CT for detailed images of the heart muscle and vessels
- Blood tests (e.g., troponin, BNP) to monitor cell damage and cardiac load
- Stress tests to assess the functional capacity of the cardiovascular system
An interdisciplinary team for your safety
Cardio-oncology treatment requires close collaboration between several disciplines. In our clinic, you will be treated by:
- Cardiologists specialized in complementary oncological therapies
- Oncologists who individually manage and adapt cancer treatment
- Radiologists with experience in cardiac imaging
- Internists for the joint management of risk factors such as hypertension or diabetes
Risk factors for heart problems in cancer patients
In addition to cancer treatment, other factors can influence heart health:
- Previous illnesses such as hypertension, diabetes or arterial diseases
- Advanced age
- Unhealthy lifestyle habits such as a sedentary lifestyle, smoking, or poor diet
- Family history
Take warning signs seriously
During cancer treatment, patients should pay attention to symptoms that may indicate heart problems, such as:
- Shortness of breath or excessive fatigue
- Chest pain or pressure in the chest
- Palpitations, tachycardia or irregular pulse
- Swelling in the legs
- Dizziness or momentary loss of consciousness
Complementary therapeutic measures for heart problems
In case of cardiac side effects, the following medications may be used to stabilize heart function and reduce complications:
- Beta blockers
- ACE inhibitors or AT1 blockers
- Diuretics to eliminate fluids
- Antiplatelet agents or anticoagulants (blood thinners)
- Statins to reduce cholesterol and stabilize blood vessels
Lifestyle and nutrition – active participation in heart health
Patients can also actively contribute to their heart health by:
- Regular and moderate physical exercise , adapted to the individual level
- Quitting smoking
- Balanced diet inspired by the Mediterranean diet – rich in vegetables, fish, high-quality olive oil, and fiber
- Stress management with relaxation techniques
- Avoid ultra-processed foods with high sugar, salt or fat content
Early prevention – prevention in cardiooncology
Effective cardio-oncological management begins before cancer treatment. The following is recommended:
- Cardiological evaluation BEFORE starting therapy
- Continuous monitoring and adjustment of medication during treatment
- Early modification of oncological therapy in cases of cardiac abnormalities
- Complementary heart-protective medication, if necessary
- Long-term follow-up even after the end of therapy
Conclusion
At German Clinic Marbella, we are committed to combining early oncology and cardiology care. Thanks to modern diagnostics, interdisciplinary expertise, and individual counseling, we help protect your heart health during and after cancer treatment in the best possible way.
We will be happy to provide you with personal advice in our specialized cardio-oncology clinic.
