การตรวจวัดความเครียดของกล้ามเนื้อหัวใจในผู้ป่วยมะเร็ง (Echocardiography with strain imaging) เพื่อป้องกันภาวะหัวใจล้มเหลว

Heart health care in cancer patients is important because cancer treatment, especially chemotherapy (Chemotherapy) and radiotherapy (Radiotherapy) may affect the myocardium and blood vessels.
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Assessment and monitoring of heart health before, during, and after treatment by cardiologists play an important role in treatment planning in collaboration with oncologists to prevent complications and reduce the risk of heart failure, which is considered Early Detection that benefits patients.
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<h2>Heart Health Assessment Alongside Cancer Treatment </h2>
Before starting cancer treatment, patients should undergo basic health and heart health checks, such as blood sugar and lipid level tests, electrocardiogram (ECG), and chest X-ray.
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For patients receiving chemotherapy or radiotherapy in the chest area, echocardiography (Echocardiography) combined with myocardial strain measurement should be performed to assess the strength of the heart muscle and blood vessels. This helps doctors plan treatment and monitor treatment outcomes better for each patient.
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<h2>What Are Echocardiography and Myocardial Strain Measurement (Echocardiography with Strain Imaging)? </h2>
Strain Echo is a technique in Echocardiography that uses Strain Imaging technology combined with 2D Echocardiography or 3D Echocardiography
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including the Speckle Tracking Echocardiography (STE) technique to increase accuracy in assessing heart muscle function. This examination allows doctors to see details more clearly than conventional heart ultrasound alone and can analyze and evaluate heart function that may be affected by cancer treatment.
 
<h2>Echocardiography and Myocardial Strain Measurement in Heart Health Assessment of Cancer Patients </h2>
Strain Echo is a very useful technique for detecting early heart abnormalities. It can detect issues at an early stage before patients show symptoms (Early Detection) or before symptoms worsen or become clearly severe.
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It is an advanced cardiac assessment that helps in monitoring, prevention, and adjusting treatment plans to suit each cancer patient. By analyzing heart muscle movement with this method, heart function can be evaluated in more detail, including:
<ul>
<li>Longitudinal Strain – observing heart contraction along the length</li>
<li>Radial Strain – observing heart expansion from the center outward</li>
<li>Circumferential Strain – observing heart contraction around the heart chambers</li>
</ul>
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<h2>Echocardiography and Myocardial Strain Measurement in Cancer Patients Receiving Chemotherapy and Targeted Therapy </h2>
Results from Strain Echo and Echocardiography with strain imaging help detect heart health problems as follows:
<ul>
<li>Helps detect abnormalities that may not yet show symptoms in the early stage, such as ischemia and myocardial dysfunction, before symptoms become obvious.</li>
<li>Detects heart injury from chemotherapy at an early stage, which is important for monitoring side effects from chemotherapy and targeted therapy drugs. Some chemotherapy drugs, such as anthracyclines (e.g., doxorubicin and epirubicin) and HER2 inhibitors (e.g., trastuzumab), may increase the risk of heart failure.</li>
<li>Assesses the severity of heart abnormalities by testing cardiac biomarkers in the blood, such as troponin and BNP, as well.</li>
</ul>
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<h2>The Important Role of Cardiologists in Caring for Cancer Patients </h2>
Cardiologists not only care for general heart disease patients but also play a crucial role in caring for cancer patients by collaborating with oncologists and multidisciplinary teams to ensure effective treatment and reduce the risk of cardiac complications. The roles of cardiologists in cancer patients include:
<ul>
<li data-leveltext="●" data-font="Noto Sans Symbols" data-listid="2" data-list-defn-props="{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Noto Sans Symbols&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;●&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}" data-aria-posinset="1" data-aria-level="1">Pre-treatment heart health assessment to prevent heart failure or coronary artery disease caused by chemotherapy and radiotherapy.</li>
</ul>
<ul>
<li data-leveltext="●" data-font="Noto Sans Symbols" data-listid="2" data-list-defn-props="{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Noto Sans Symbols&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;●&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}" data-aria-posinset="2" data-aria-level="1">Monitoring during treatment using echocardiography and strain imaging techniques, as well as measuring cardiac biomarkers in the blood, which serve as indicators of heart function to reduce the risk of cardiovascular complications.</li>
</ul>
<ul>
<li data-leveltext="●" data-font="Noto Sans Symbols" data-listid="1" data-list-defn-props="{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Noto Sans Symbols&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;●&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}" data-aria-posinset="1" data-aria-level="1">Treatment and cardiac rehabilitation based on evidence-based medicine in drug selection to reduce the risk of heart failure in cancer patients.</li>
</ul>
 
Echocardiography and Echocardiography with strain imaging are therefore important tools for assessing heart health in cancer patients from early stages through post-treatment. They can detect heart abnormalities early before symptoms appear (Early Detection), enabling doctors to plan treatment and prevent heart failure more effectively.
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At Phyathai Hospital 1, we have specialized cardiologists, treatment centers, and modern equipment and technology to provide patients with high-quality examinations, diagnoses, and treatments to help them regain a good quality of life.

Cancer treatment using chemotherapy and radiation therapy mostly affects heart function. Echocardiography with strain imaging is an additional technique to the standard echocardiogram that helps diagnose abnormalities before patients show symptoms in cancer patients, leading to a reduced incidence of heart failure.

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Myocardial strain imaging in cancer patients (Echocardiography with strain imaging) to prevent heart failure

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