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Table 1 Comparison of cardiology evaluation and cardiovascular imaging modalities in patients before/during treatment versus during survivorship care, by provider report. Patients were more likely to be evaluated by a cardiologist post-treatment or during survivorship care than prior/during cancer treatment. There was an increase in use of Cardiac MR imaging as part of survivorship care

From: The landscape of cardiovascular care in pediatric cancer patients and survivors: a survey by the ACC Pediatric Cardio-Oncology Work Group

Cardiac Visit/Cardiac Testing

Before/During Treatment

(N = 64)

After Treatment/Survivorship

(N = 65)

P-value

Evaluation by a Cardiologist

8 (12%)

28 (43%)

< 0.01

Electrocardiogram

48 (75%)

43 (66%)

0.27

Extended arrhythmia monitoring

2 (3%)

7 (11%)

0.16

Echocardiogram, standarda

37 (58%)

36 (55%)

0.77

Echocardiogram, advancedb

32 (50%)

35 (54%)

0.66

Cardiac magnetic resonance imaging

2 (3%)

11 (17%)

< 0.01

Radionuclide imaging (e.g. MUGA)

0 (0%)

2 (3%)

0.50

Serum biomarkers

5 (8%)

n/a

–

Cardiopulmonary exercise testing

n/a

5 (8%)

–

None

0 (0%)

0 (0%)

1.00

Other/Unknown/not applicable

9 (14%)

8 (12%)

0.76

  1. MUGA Multi-gated acquisition scan, n/a Answer was not an option for this question
  2. aIncluding shortening fraction and/or ejection fraction; bincluding diastolic parameters, strain imaging, and stress echocardiography