{"id":1413,"date":"2026-04-29T13:05:51","date_gmt":"2026-04-29T11:05:51","guid":{"rendered":"https:\/\/bcco.abako.be\/?page_id=1413"},"modified":"2026-04-29T13:53:24","modified_gmt":"2026-04-29T11:53:24","slug":"basic-cv-risk-assessment","status":"publish","type":"page","link":"https:\/\/bcco.abako.be\/en\/cardiologists\/basic-cv-risk-assessment\/","title":{"rendered":"Basic CV risk assessment"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1413\" class=\"elementor elementor-1413\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4092745 e-flex e-con-boxed e-con e-parent\" data-id=\"4092745\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-903c03a e-con-full e-flex e-con e-child\" data-id=\"903c03a\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-9511777 e-con-full e-flex e-con e-child\" data-id=\"9511777\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a3da802 elementor-widget elementor-widget-text-editor\" data-id=\"a3da802\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><a href=\"https:\/\/bcco.abako.be\/en\/cardiologists\/\">&lt;- Back to Cardiologists<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dc2e06a elementor-widget elementor-widget-heading\" data-id=\"dc2e06a\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Info<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-88c8207 elementor-widget elementor-widget-heading\" data-id=\"88c8207\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">For Cardiologists<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-aac7760 elementor-widget elementor-widget-text-editor\" data-id=\"aac7760\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The ESC Cardio-Oncology Guidelines emphasize that CV risk prevention should start at the time of cancer diagnosis and before initiation of therapy. This allows:<\/p><ul><li>identification of pre-existing CV disease and risk factors; (SCORE2 and SCORE2-OP)<\/li><li>estimation of cardiotoxicity risk related to the planned cancer therapy;<\/li><li>timely optimization of modifiable risk factors;<\/li><li>referral to cardio-oncology services for high-risk patients.<\/li><\/ul><p>CTR-CVT risk is dynamic \u2014 it can evolve throughout cancer therapy and survivorship. Regular reassessment is recommended.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-2292d00 e-con-full e-flex e-con e-child\" data-id=\"2292d00\" data-element_type=\"container\">\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-d1c3d10 e-flex e-con-boxed e-con e-parent\" data-id=\"d1c3d10\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-e2a529b e-con-full e-flex e-con e-child\" data-id=\"e2a529b\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-687384e e-con-full e-flex e-con e-child\" data-id=\"687384e\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-ac910d5 e-flex e-con-boxed e-con e-child\" data-id=\"ac910d5\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0d64f98 elementor-widget elementor-widget-heading\" data-id=\"0d64f98\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Baseline Cardiovascular Toxicity Risk Assessment<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ca84e54 e-con-full e-flex e-con e-child\" data-id=\"ca84e54\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9c34a63 elementor-widget elementor-widget-text-editor\" data-id=\"9c34a63\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>A systematic and personalized baseline assessment is mandatory before potentially cardiotoxic therapy.<br \/>The process integrates medical history, physical exam, laboratory evaluation, imaging, and structured risk scoring.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-77f8744 e-flex e-con-boxed e-con e-parent\" data-id=\"77f8744\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-d1c85eb e-con-full e-flex e-con e-child\" data-id=\"d1c85eb\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-fb957d4 elementor-widget elementor-widget-heading\" data-id=\"fb957d4\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">General Approach<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-aeae6cf e-con-full e-flex e-con e-child\" data-id=\"aeae6cf\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-15fdf37 elementor-widget elementor-widget-heading\" data-id=\"15fdf37\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Checklist for baseline assessment:<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4f17b5d elementor-widget elementor-widget-text-editor\" data-id=\"4f17b5d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>\u00a0<\/p><table><thead><tr><td><strong>Category<\/strong><\/td><td><strong>Components<\/strong><\/td><\/tr><\/thead><tbody><tr><td><strong>Medical history<\/strong><\/td><td><ul><li>Pre-existing cardiovascular disease (CVD)<\/li><li>Prior cardiotoxic cancer therapies<\/li><li>Traditional CV risk factors:<\/li><\/ul><p>hypertension, diabetes, dyslipidemia, smoking, obesity, sedentary lifestyle, alcohol use<\/p><\/td><\/tr><tr><td><strong>Physical examination<\/strong><\/td><td><ul><li>Vital signs<\/li><li>Blood pressure<\/li><li>Heart rate<\/li><\/ul><\/td><\/tr><tr><td><strong>Laboratory tests<\/strong><\/td><td><ul><li>Lipid profile<\/li><li>Fasting glucose, HbA1c<\/li><li>Kidney function (eGFR)<\/li><li>\u00b1 Cardiac biomarkers (hs-troponin, BNP\/NT-proBNP) depending on risk and treatment plan.<\/li><\/ul><p><em>Of note: NTproBNP is not reimbursed in Belgium<\/em><\/p><\/td><\/tr><tr><td><strong>ECG<\/strong><\/td><td><ul><li>Recommended for all patients<\/li><li>Assessment of rhythm, QTc, conduction abnormalities<\/li><\/ul><\/td><\/tr><tr><td><strong>Transthoracic echocardiography (TTE)<\/strong><\/td><td><ul><li>A complete TTE exam is mandatory, including<\/li><li>LVEF and GLS measurements<\/li><\/ul><p><em>if available, consider 3D LVEF) <\/em><\/p><\/td><\/tr><tr><td><strong>Other imaging<\/strong><\/td><td><ul><li>Cardiac MRI if echocardiography is non-diagnostic<\/li><\/ul><\/td><\/tr><tr><td><strong>Functional assessment<\/strong><\/td><td><ul><li>Optional cardiopulmonary exercise testing (CPET) in selected preoperative or high-risk cases<\/li><\/ul><\/td><\/tr><\/tbody><\/table>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1b99e28 e-flex e-con-boxed e-con e-parent\" data-id=\"1b99e28\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-d29936c e-con-full e-flex e-con e-child\" data-id=\"d29936c\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-6ea5109 e-con-full e-flex e-con e-child\" data-id=\"6ea5109\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4884b47 elementor-widget elementor-widget-text-editor\" data-id=\"4884b47\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li>Assess global CV risk using SCORE2 or SCORE2-OP for 10-year fatal and non-fatal CV risk. \u00a0\u00a0\u00a0\u00a0 <br \/>\u279c (<a href=\"https:\/\/www.heartscore.org\/en_GB?_gl=1*1om4e2l*_gcl_au*ODAxODcwOTQ3LjE3NTYzMjcyNDE.*_ga*MjkyODE1MTM5LjE2NzY0OTg1NTM.*_ga_VPF4X3T28K*czE3NTcyNjkyMjgkbzExOSRnMSR0MTc1NzI2OTc2OCRqNjAkbDAkaDA.*_ga_5Y189L6T14*czE3NTcyNjkyMjgkbzEzNCRnMSR0MTc1NzI2OTc2OCRqNjAkbDAkaDA.\" target=\"_blank\" rel=\"noopener\">HeartScore<\/a><u> ;<\/u> for Belgium:\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <a href=\"https:\/\/heartscore.escardio.org\/Calculate\/quickcalculator.aspx?model=low\" target=\"_blank\" rel=\"noopener\">https:\/\/heartscore.escardio.org\/Calculate\/quickcalculator.aspx?model=low<\/a>)\u00a0\u00a0<\/li><li>Perform baseline risk stratification using the Heart Failure Association\u2013International Cardio-Oncology Society (HFA\u2013ICOS) risk tool. <br \/>\u279c <a href=\"https:\/\/www.cancercalc.com\/hfa-icos_cardio_oncology_risk_assessment.php\" target=\"_blank\" rel=\"noopener\">CancerCalc \u2013 HFA\u2013ICOS Risk Calculator<\/a><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-45d59a2 e-con-full e-flex e-con e-child\" data-id=\"45d59a2\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-5eddc1c e-con-full e-flex e-con e-child\" data-id=\"5eddc1c\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-d62e3cd e-con-full e-flex e-con e-child\" data-id=\"d62e3cd\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f82f14a elementor-widget elementor-widget-heading\" data-id=\"f82f14a\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Risk stratification\u200b<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-96b68d7 e-flex e-con-boxed e-con e-parent\" data-id=\"96b68d7\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-999eef1 e-con-full e-flex e-con e-child\" data-id=\"999eef1\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-619dbcc elementor-widget elementor-widget-heading\" data-id=\"619dbcc\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Cardiology or Cardio-oncology Referral<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-33e7572 e-con-full e-flex e-con e-child\" data-id=\"33e7572\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-0f0104b e-con-full e-flex e-con e-child\" data-id=\"0f0104b\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-92dbac8 elementor-widget elementor-widget-heading\" data-id=\"92dbac8\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Cardio-oncology referral in all patients with (moderate (Class IIb) to) high\/very high (Class I) risk before anti-cancer therapy:<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a502316 elementor-widget elementor-widget-text-editor\" data-id=\"a502316\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Age &gt;65 years<\/p><p>Multiple uncontrolled cardiovascular risk factors<\/p><p>Preexisting heart disease<\/p><p>Uncontrolled arterial hypertension<\/p><p>Any abnormal findings on the baseline TTE or ECG<\/p><p>High or very high risk for cardiotoxicity based on Cardio-Oncology Society (HFA\u2013ICOS) risk calculator (<a href=\"https:\/\/www.cancercalc.com\/hfa-icos_cardio_oncology_risk_assessment.php\" target=\"_blank\" rel=\"noopener\">CancerCalc \u2013 HFA\u2013ICOS Risk Calculator<\/a>)<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6e55002 e-con-full e-flex e-con e-child\" data-id=\"6e55002\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1314392 elementor-widget elementor-widget-heading\" data-id=\"1314392\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">During treatment cardio-oncology referral, if: <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-15b2630 elementor-widget elementor-widget-text-editor\" data-id=\"15b2630\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Decrease of LVEF by 10% from the baseline, or new LVEF reduction to &lt;50%<\/p><p>Decrease of GLS &gt;15% from the baseline<\/p><p>Development of uncontrolled arterial hypertension<\/p><p>Development of atrial fibrillation or other arrhythmias<\/p><p>New cardiovascular signs and symptoms<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ffad6c2 e-con-full e-flex e-con e-child\" data-id=\"ffad6c2\" data-element_type=\"container\">\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>&lt;- Back to Cardiologists Info For Cardiologists The ESC Cardio-Oncology Guidelines emphasize that CV risk prevention should start at the time of cancer diagnosis and before initiation of therapy. This allows: identification of pre-existing CV disease and risk factors; (SCORE2 and SCORE2-OP) estimation of cardiotoxicity risk related to the planned cancer therapy; timely optimization of [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":425,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1413","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Basic CV risk assessment - Belgian Council on Cardio-Oncology<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Basic CV risk assessment - Belgian Council on Cardio-Oncology\" \/>\n<meta property=\"og:description\" content=\"&lt;- Back to Cardiologists Info For Cardiologists The ESC Cardio-Oncology Guidelines emphasize that CV risk prevention should start at the time of cancer diagnosis and before initiation of therapy. 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