Rates of cancer survival have increased in recent decades as a result of earlier diagnosis and improved therapies, but a longer lifespan does not necessarily equate to a healthier life. Chronic illness as a consequence of cancer and its treatment is reported in a significant proportion of people living with and beyond the disease. An increased risk of cardiovascular diseases, such as myocardial infarction, stroke and heart failure, is one of the side effects of some cancer therapies.Nurses in oncology and primary care can minimise cardiovascular risks by improving people's awareness of symptoms, conducting health assessments and making appropriate referrals. Secondary prevention through lifestyle advice, smoking cessation and obesity reduction is also essential. This should be in combination with more detailed cardiac assessment for those in high-risk groups at all stages of the patient pathway.Appropriate risk management and early detection of heart problems can prevent long-term illness and reduce multimorbidity for people living with and beyond cancer.

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