Thomas D. Ryan, MD, PhD (from left),  John Jefferies, MD, and Angela Lorts, MD, at Cincinnati Children's.

Who Are Our Patients?

Patients seen in the Cardio-Oncology Program include any patients treated by hematologists, oncologists and stem cell transplant specialists at Cincinnati Children’s or at other medical centers, referring specialists, primary care providers and self-referring families.

Our program cares for pediatric, adolescent and young adult patients who:

  • Are undergoing active treatment
  • Have completed treatment
  • Have been previously diagnosed with heart problems, including congenital heart disease
  • Are at risk of developing cardiovascular complications due to treatment

We offer both an inpatient consultation service as well as a dedicated outpatient clinic. Patients seen in the cardio-oncology outpatient clinic are treated by a team of specialized providers including Thomas Ryan, MD, PhD, co-director, Cardio-Oncology Program; John Jefferies, MD, director, Advanced Heart Failure and Cardiomyopathy Program; and Juli Sublett, APRN, CNP, nurse practitioner, Cardio-Oncology Program.

What Do We Treat?

Any disorder affecting the cardiovascular system due to hematology, oncology and stem cell transplant therapies in pediatric, adolescent and young adult patients can be treated. 

Commonly, this includes:

  • Decreased function of the heart, sometimes called ventricular dysfunction or heart failure
  • Abnormal heart rhythms
  • High blood pressure
  • Fluid around the heart (pericardial effusion)
  • Abnormal heart valve function

The effects of hematology-, oncology- and stem cell transplant-related therapies in pediatric, adolescent and young adult patients can occur after a single dose, or years to decades later.

It is important to remember that not all patients who have received these therapies develop cardiovascular disease, and overall it is rare.