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Cardio-Oncology Mediterranean group
![LOGO_GMEDICO_FR+++.png](https://static.wixstatic.com/media/91a11f_967ffae88e954bd5b8fcf08d7a3b60b6~mv2.png/v1/crop/x_554,y_306,w_6031,h_4223/fill/w_106,h_75,al_c,q_85,usm_0.66_1.00_0.01,enc_auto/LOGO_GMEDICO_FR%2B%2B%2B.png)
BTK inhibitors
(e.g., ibrutinib, acalabrutinib, zalubrutinib)
Cardio-oncological evaluation*
before cancer treatment begins
Cardio-oncological evaluation* AND home blood pressure monitoring
every 3 months for 1 year, then every 6 months during all ibrutinib therapy
Asymptomatic
Continue cardio-oncological follow-up* **
Symptomatic
Holter-ECG monitoring in addition to cardio-oncological follow-up*
* A cardio-oncological evaluation will systematically include at least one visit with blood pressure, blood glucose, lipid profile, GFR calculation, ECG and trans-thoracic echocardiography (TTE). Measurements of global longitudinal strain and 3D LVEF (if feasible) are recommended with the same machine.
** Holter-ECG monitoring can be considered even in asymptomatic patients to asymptomatic atrial fibrillation or ventricular arrhythmia.
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