Correspondence: NEJM - Early Cardiovascular Death in Patients with Cancer — NEJM

 Note:  a case could be made for neoadjuvant therapy

Early Cardiovascular Death in Patients with Cancer — NEJM

"... These data suggest that patients who underwent surgery after a cancer diagnosis were more than twice as likely to die from a cardiac cause within the first month than those who did not undergo surgery. This proportion appears similar to the increased risk among patients with cancer that was previously attributed to the psychological stress of a cancer diagnosis. We think that in the future, investigators reporting cardiovascular death in patients with a recent diagnosis of cancer should report the rates of surgery, since it probably has an effect on the rates of early cardiovascular deaths among these patients, possibly over and above any influence of psychological stress."