Cardiac screening before and after radiotherapy
| Before radiotherapy Comprehensive screening and aggressive risk-factor modification Baseline transthoracic echocardiography to detect cardiac anomalies |
| Annual follow-up Cardiovascular history and examination Transthoracic echocardiography if murmur detected Careful investigation of symptoms |
| 5-Year follow-up Transthoracic echocardiography for high-risk asymptomatic patients (Table 1) Noninvasive coronary artery disease assessment with stress echocardiography or stress cardiac magnetic resonance imaging Repeat transthoracic echocardiography at 5-year intervals |
| 10-Year follow-up Transthoracic echocardiography for asymptomatic non-high-risk patients Repeat transthoracic echocardiography every 5 years thereafter |
Adapted from the European Association of Cardiovascular Imaging and the American Society of Echocardiography, information in reference 10.