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Cardio-Oncology Center

Try Our New Cardio-Oncology Assessment Tool

Did you know some cancer treatments may affect your heart health? Know the signs and symptoms to look out for and see if an evaluation at the Cardio-Oncology Center is recommended for you.

Cancer survival has improved over the years due to newer and better forms of treatment with chemotherapy and radiation. When treating cancer, some of the treatments may cause lasting damage to your heart. This is especially true if you are at risk for heart disease.

The goal of Cleveland Clinic’s Cardio-Oncology Center is to help you complete your cancer treatment without developing such damage. We use state-of-the-art technology to identify and immediately treat the toxicity. Our care does not change or interrupt your cancer therapy.

Our team includes specialists from the Sydell and Arnold Miller Family Heart & Vascular Institute (including cardiac imaging, heart failure, electrophysiology and cardiac surgery) and the Taussig Cancer Institute. The team works together to provide expertise in diagnostic testing, medical management, and interventional and surgical procedures for patients.

This multidisciplinary team of doctors, nurses and healthcare professionals is dedicated to caring for patients in every stage of cancer treatment who are at risk for, develop or have established cardiovascular disease.


The Cardio-Oncology Center provides care to patients in varying stages of cancer treatment who have or are at risk for heart disease. Our range of services includes evaluation and treatment of patients:

  • Who will begin cancer treatment and have risk factors for heart disease
  • Who will begin cancer treatment and are being treated for heart disease
  • Who are undergoing chemotherapy or radiation and develop symptoms of weakness or fatigue;
    swelling of the legs and feet; chest pain; irregular heart beats; and/or dizziness
  • Who have had cancer treatment in the past and develop new cardiac problems
  • Who have had radiation therapy in the past and need surgical or interventional treatments
  • Who have developed advanced heart failure due to previous cancer treatment and need advanced treatment, such as a heart pump or heart transplant
  • Who have a cardiac tumor

Our team of healthcare professionals offer patients:

Why choose Cleveland Clinic for your care?

Our outcomes speak for themselves. Please review our facts and figures and if you have any questions don’t hesitate to ask.

Leaders in the field from America’s top ranked Heart Program and one of America’s top Cancer Programs are working together to offer you the best diagnostics and treatment possible.

Cleveland Clinic's Section of Cardiovascular Imaging pioneered the clinical use of strain imaging. This is an innovative technique that allows early detection of cardiotoxicity. This helps determine the best plan for cancer treatment and predict the amount of heart damage it will cause.

Download the Heart & Vascular Outcomes

Cleveland Clinic's Cardio-Oncology Center staff includes a multidisciplinary group of expert healthcare professionals from the Miller Family Heart & Vascular Institute and Taussig Cancer Institute. This collaboration is designed to provide you with the best possible care of your heart before, during and after cancer treatment.

Our Medical Team

Dr. Budd

G. Thomas Budd, MD
Co-Director, Cardio-Oncology Center, Solid Tumor Oncology (Breast and Sarcomas)

Dr. Tamarappoo

Balaji Tamarappoo, MD, PhD
Co-Director, Cardio-Oncology Center, Cardiovascular Imaging

Dr. Collier

Patrick Collier, MD
Co-Director, Cardio-Oncology Center, Cardiovascular Imaging


Medical Staff

Sydell and Arnold Miller Family Heart & Vascular Institute: Cardiovascular Medicine

Christine Cifranic


Thoracic and Cardiovascular Surgery


What to Expect

Whether you are coming from around the corner or around the world, you want to know what to expect before, during and after your visit with us. If you have any questions while reviewing this information, please contact us. We are happy to answer any questions you may have.

To start the process, contact the Heart and Vascular Institute Resource Nurse by phone, email or chat online. She will ask you a few questions to gather information about your cancer and heart history. She will forward this information to the Cardio-Oncology nurse, who will contact you with the next steps for your evaluation.

Before Your Appointment

If your appointment is at least one week away, please send us your records. Please include your medical history, previous or current cancer diagnosis, chemo and/or radiotherapy regimen received, list of medications, test results and films (echocardiogram, ultrasound, chest x-ray, MRI, CT, etc.).  All information should be sent in the same package (clearly marked with your name and address) via Airborne Express, Federal Express, or certified U.S. mail (make sure you have a tracking number). Send your records to:

Cardio-Oncology Center
c/o Dr. Juan Carolos Plana
Cleveland Clinic
Cardio-Oncology Center – Desk J1 - 5
9500 Euclid Avenue
Cleveland, OH 44195

If your appointment is less than a week away, please bring your records to your appointment.

Traveling to Cleveland Clinic

We want your trip to Cleveland Clinic to be as easy as possible.  Information on traveling to the Miller Family Heart & Vascular Institute.

Please note: Parking for your appointment will vary whether you are at Taussig or the Miller Family Heart & Vascular Institute.

Physician Referrals

Please contact the Cardio-Oncology Center office, care of Dr. Plana-
216.444.5910 (or call the physician’s office directly).

During Your Appointment
First, you will meet with either a nurse clinician or fellow who will review your information and begin the documentation process. This may involve:
  1. Thorough history and physical examination
  2. Electrocardiogram
  3. Strain Imaging Testing

Next, you’ll meet with your Center physician who will review your records and take a medical history and perform a physical exam. You may see other specialists within the Center. You will get results from your visit the same day. We will also provide you with a diagnosis and plan of care for your oncologist.

How long will you need to stay at Cleveland Clinic?

To complete all testing, you will need to stay in the Cleveland area for 1 to 2 days.

After Your Visit

Your doctor will let you know when to come back for another visit.

Appointment Information

By Phone

Locally 216.445.9288 or toll-free 866.289.6911 to speak to a Heart & Vascular Nurse


When you make your appointment, ask the administrative assistant for the name of your physician and desk number. You will be told to go to Desk J2 - 4 or Desk M41, 9500 Euclid Avenue, Cleveland, OH.


Use our secure online form to submit an appointment request 24/7. We will receive it and follow-up with you as soon as possible.

Physician Referrals

Mon. - Fri., 8 a.m. - 5 p.m. (ET):
locally 216.445.7430 or toll-free 800.223.2273, ext. 57430

At all other times call Patient Access Services locally 216.444.8302 or toll-free 800.553.5056.

For Patients

Cleveland Clinic Heart and Vascular Institute physicians, surgeons, and researchers continue to research into new treatments and therapies with the goal of improving patient care and outcomes into the future.

Cardio-Oncology Videos

Some videos may include real surgery images and may be graphic.
These videos are best viewed on a high speed T1/DSL/Cable modem connection.
Click on the video below to play the video.

Video Listing

Reviewed: 03/15

Talk to a Nurse: Mon. - Fri., 8:30 a.m. - 4 p.m. (ET)

Call a Heart & Vascular Nurse locally 216.445.9288 or toll-free 866.289.6911.

Schedule an Appointment

Toll-free 800.659.7822

This information is provided by Cleveland Clinic and is not intended to replace the medical advice of your doctor or health care provider. Please consult your health care provider for advice about a specific medical condition.

© Copyright 2015 Cleveland Clinic. All rights reserved.

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