Cancer patients are often viewed as having a single disease, focused on the cancer. And while we often treat Cancer patients in this way, the reality is that cancer patients are like all patients, a composite of multiple risk factors for as well as often having one or more non-cancer underlying diseases. Such is particularly the case with heart disease which shares many risk factors with cancer. The common risks between heart disease and cancer, along with improved cancer treatments has improved cancer longevity with heart disease now the second most frequent cause of death in cancer patients [ ].