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EPISODE · Aug 25, 2025

Breast Radiation and Heart Disease

from Cancer Covered

Radiation oncologists Dr. Michael Guiou and Dr. Alex Coffman discuss why patients with left-sided breast cancer face an increased risk of heart disease due to the proximity of the heart to the tumor. They explain how historical advancements in radiation technology initially led to higher doses reaching the heart and detail the modern techniques now used to mitigate this risk.   “You don’t want to cure their cancer, but increase their risk of having a heart attack later on in life.” – Dr. Michael Guiou  In this episode of Cancer Covered, you’ll learn:  The primary reason left-sided breast cancer patients are at higher risk is the heart’s position on the left side of the chest, which makes it more susceptible to radiation exposure.  Advancements in radiation therapy in the 1960s, while improving deep-body targeting, also unintentionally increased the radiation dose to the heart.  Modern techniques like deep inspiration breath hold (DIBH), prone positioning, and advanced planning are used to keep radiation away from the heart.  These modified treatments have significantly reduced the risk of heart disease for most patients.  Patients with pre-existing risk factors for heart disease, such as smoking or diabetes, are at an even higher risk, so it’s crucial to manage those factors.  We’ve Got Cancer…Covered. Thanks for tuning into this week’s Cancer Covered with Green Bay Oncology episode. If you enjoyed this episode, please subscribe and leave a review wherever you get your podcasts. Apple Podcasts | GooglePlay |Deezer | Spotify | iHeart Be sure to share your favorite episodes on social media to help us reach more oncology professionals, cancer patients, and their families. Join us on Facebook, Twitter, Instagram, and LinkedIn. For more exclusive content and information, visit our website. Join Our Free Monthly Support GroupNo one should carry the burden of cancer alone. A cancer diagnosis can make you and your loved ones feel isolated and alone – just when you need support the most.Our social workers at Green Bay Oncology know that meaningful connection brings strength and healing. Sharing the experience in a safe space with others on a similar path is often powerful and therapeutic.That’s why we offer a free monthly virtual and in-person cancer support group facilitated for you and your loved ones. Wherever you are on your cancer journey – you are always welcome. To join us, visit: https://gboncology.com/events/

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This episode was published on August 25, 2025.

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Radiation oncologists Dr. Michael Guiou and Dr. Alex Coffman discuss why patients with left-sided breast cancer face an increased risk of heart disease due to the proximity of the heart to the tumor. They explain how historical advancements in...

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