Arrhythmias and Cardiac Devices Management in Oncology Patients.
Estelle, T., W, C.J., Ul, A.A.Z., Kamala, T., E, T.J., Robert, C.H., Kaveh, K., K, G.A., K, C.R., Rachita, N., Nazem, A., Bharath, R., Diego, S., Olujimi, A., J, L.C., Anita, D., & G, F.M. (2026). Arrhythmias and Cardiac Devices Management in Oncology Patients.. Heart Rhythm. https://doi.org/10.1016/j.hrthm.2026.03.1944
Estelle T, W CJ, Ul AAZ, Kamala T, E TJ, Robert CH, et al. Arrhythmias and Cardiac Devices Management in Oncology Patients.. Heart Rhythm. 2026; doi: 10.1016/j.hrthm.2026.03.1944
Estelle T, W CJ, Ul AAZ, et al. Arrhythmias and Cardiac Devices Management in Oncology Patients.[J]. Heart Rhythm. 2026. DOI: 10.1016/j.hrthm.2026.03.1944.
@article{estelle2026,
author = {Torbey Estelle and Cheung Jim W and Abideen Asad Zain Ul and Tamirisa Kamala and Tisdale James E and Copeland-Halperin Robert and Karimzad Kaveh and Ghosh Arjun K and Cheng Richard K and Navara Rachita and Akoum Nazem and Rajagopolan Bharath and Sadler Diego and Ajijola Olujimi and Love Charles J and Deswal Anita and Fradley Michael G},
title = {Arrhythmias and Cardiac Devices Management in Oncology Patients.},
journal = {Heart Rhythm},
year = {2026},
doi = {10.1016/j.hrthm.2026.03.1944},
note = {PMID: 41933629},
}
TY - JOUR AU - Torbey Estelle AU - Cheung Jim W AU - Abideen Asad Zain Ul AU - Tamirisa Kamala AU - Tisdale James E AU - Copeland-Halperin Robert AU - Karimzad Kaveh AU - Ghosh Arjun K AU - Cheng Richard K AU - Navara Rachita AU - Akoum Nazem AU - Rajagopolan Bharath AU - Sadler Diego AU - Ajijola Olujimi AU - Love Charles J AU - Deswal Anita AU - Fradley Michael G TI - Arrhythmias and Cardiac Devices Management in Oncology Patients. T2 - Heart Rhythm PY - 2026 DO - 10.1016/j.hrthm.2026.03.1944 AN - PMID:41933629 ER -
Cardiac arrhythmia is increasingly encountered in patients with cancer, not only as a result of shared risk factors but also as a direct consequence of malignancy and its therapies. This evolving overlap has positioned arrhythmia management as a key component of cardio-oncology practice. This review outlines current strategies for managing atrial and ventricular arrhythmias, conduction disorders, and device-related considerations in oncology patients. It emphasizes the importance of evaluating drug-drug interactions between antiarrhythmics, anticoagulants, and cancer therapies, particularly in the context of QT interval prolongation, bradycardia, or thrombocytopenia. Therapeutic decisions, such as initiating antiarrhythmics, pursuing ablation, or implanting cardiac devices, must weigh life expectancy, procedural risk, cancer stage, and overall treatment goals. Special attention is given to the timing and safety of electrophysiologic interventions in patients receiving chemotherapy, radiation, or hematopoietic stem cell transplantation. The review also explores emerging tools like remote monitoring and artificial intelligence to detect early arrhythmia, personalize therapy, and reduce complications. As cardiovascular and oncologic care become increasingly intertwined, multidisciplinary collaboration is essential to balance rhythm control with cancer treatment goals. The integration of cardiology, oncology, and electrophysiology expertise will be vital in optimizing outcomes for this high-risk population.