NPPB and cancer: − 2-D echocardiogram: 472 patients (99.5%), biomarker panels (troponin and pro BNP): 254 patients (53.5%), 3-D echocardiogram and global strain (GLS): 142 patients (33%), stress test/nuclear/stress echo: 148 patients (31%), Holter/event monitor: 83 patients (17.5%), cardiac catheterization: 21 patients (4.4%), and CMR: 22 patients (4.6%) (Table 3). The high utilization rate of cardiovascular testing in our cardio oncology clinic reflects the high cardio vascular risk and pre-existing cardiac co-morbidities in these cancer patients.