• Cardiac toxicity is one of the most concerning side effects of anticancer therapy.
• RIHD holds a wide range of deleterious effects on the heart including pericarditis, coronary artery disease, myocardial infarction, valvular heart disease, rhythm abnormalities, and non-ischemic myocardial and conduction system damage.
• Appropriate recognition of potential cardiac complications related to radiotherapy is warranted in our day-to-day clinical practice. Several imaging approaches can be used to detect, evaluate, and monitor RIHD.