One expert saw similarities in his own practice. ‘The study results resonate with my own experiences and those of many emergency and critical treatment providers,’ said Dr. Benjamin Abella, clinical study director with the Center for Resuscitation Science at the University of Pennsylvania in Philadelphia. ‘Hopefully, the study may serve as a wake-up call that DNR discussions should occur early and frequently following cardiac arrest, and that these discussions should end up being predicated on the survival prospect of individual sufferers,’ said Abella, who was simply not involved with the extensive research. However, DNR orders aren’t befitting all patients, he cautioned. Aggressive treatment can be appropriate for patients with an excellent prognosis, he said. Whatever the full case, Abella said, ‘these discussions are best held before patients become critically ill in a healthcare facility.’ The analysis appears in the Sept.There are several ways that cancer could damage the heart without spreading to it indirectly, experts said. For example, your body might be trying to battle off the malignancy by increasing inflammation. One of the costs of mounting that inflammatory response is certainly that it triggers some of the bad points we know it could do in the heart, Bolger said. Cancer could also directly harm the center by releasing toxic chemical substances that damage the muscle, said Dr. Alexander Lyon, a senior lecturer in cardiology at Imperial College London and a consultant cardiologist at the Royal Brompton Hospital, also in London. In the same way that the body’s skeletal muscles wastes apart with advanced cancer, perhaps the heart muscle is also affected, stated Lyon, who wrote an editorial accompanying this article.