A low rate of routine utilization of cardiac biomarkers was observed in patients receiving anthracyclines; B-type natriuretic peptide (BNP) and/or NT-pro-BNP alone were routinely used in only 2% of general hospitals, and this percentage slightly rose up to 9% for troponins with a prevalence of troponin T over troponin I. The routine coupled use of these biomarkers reached a percentage of 22% in both general hospitals and cancer centers. The gene discussed is NPPB; the disease is cancer.