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Caling all adriamycin gals....



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KathiM's picture
KathiM
Posts: 1518
Joined: Aug 2005
November 7, 2009 - 12:46pm

I just saw a cardiologist yesterday for increasing palpitations and heart troubles...sigh...

He said "So, how often did you have an echo cardiogram during the period you were infused with adriamycin?" He was horrified with my answer "None". "They should have been monitoring better", he said. (I LOVE this man, very reserved, but has become a good friend during my beau's treatment).

I will now (4 years later) have an echo, a holter monitor, a stress test, and a corrotid artery scan.

We are hoping for the best here, that it is old injury and not a decline. I'm also older now...of course, my beau says "You know, you don't need to do EVERYTHING just like me!" (His cardiac failure journey started when he was 55....) ROFL!

The moral of the story: Make sure your treatment team is monitoring your heart!

Hugs, Kathi

Marcia527's picture
Marcia527
Posts: 1249
Joined: Jul 2006
November 7, 2009 - 12:50pm

They only checked my heart before treatment began. Haven't had anything since. Now they don't run tests unless I'm having a problem. So sorry you have this problem but it's good they are keeping an eye on it. Hugs.

KathiM's picture
KathiM
Posts: 1518
Joined: Aug 2005
November 7, 2009 - 1:37pm

And, no one disagrees with me that I had a fairly awful oncologist. Bless the insurance system...lol...

Hugs, Kathi

Marcia527's picture
Marcia527
Posts: 1249
Joined: Jul 2006
November 7, 2009 - 2:16pm

I didn't know anything when going through treatment. It would have helped if I had known about this message board. Some doctors don't like it when we self-diagnose and look for answers but hey if they aren't doing their job who is going to look after us? I had treatment in 2003/2004 so I guess if there were something wrong with my heart it would have shown up by now?

KathiM's picture
KathiM
Posts: 1518
Joined: Aug 2005
November 7, 2009 - 3:16pm

I'm certain they are watching...

I never had one, and this infusion was after already having Cisplatin chemo (also known for heart trouble) for the rectal cancer, barely 6 months earlier...

We actually skipped the last AC (I only had 3) because my heart became so irregular. Sigh, she should have ordered an echo then...or referred me off to a cardiologist.

Hugs, Kathi

creampuff91344's picture
creampuff91344
Posts: 453
Joined: Nov 2008
November 7, 2009 - 12:53pm

Kathi, I am so sorry to hear about this. It is my understanding that when administering adriamycin it is necessary to monitor your heart. I was given an echo and also an ekg before starting the drug, and then another one after completion. When my one year anniversary came around, my onc ordered a complete battery of tests, including the same...echo and ekg. Guess this is something necessary because of the drug itself. Good luck on your tests, and let us know the outcome. You have always been such a great support for me, as well as all others on the site, and we are here for you as well. Hugs,

Judy

KathiM's picture
KathiM
Posts: 1518
Joined: Aug 2005
November 7, 2009 - 1:45pm

Thank you for your kind words!

I have been 'behind the scenes' lurking for awhile...so much going on with my life with managing 2 houses, in 2 countries...and my health, and my beau's health...lol...

I'm glad that the 'greater' oncology community takes better care of their patients...I'm trying hard not to complain...I am, after all, alive and kicking!!!

Hugs, Kathi

Eil4186's picture
Eil4186
Posts: 752
Joined: Dec 2007
November 7, 2009 - 2:38pm

I was tested before treatment but not during or after. My onc is wonderful though, and my initial test showed my heart to be "the most perfect example of a normal heart" the technician had ever seen! In fact she said it was georgous!! So perhaps he felt further testing was not necessary. My pcp did an ekg as part of a physical last year though because there is a lot of heart disease in my family----it was perfectly fine.:)

KathiM's picture
KathiM
Posts: 1518
Joined: Aug 2005
November 7, 2009 - 3:12pm

My onc was such a pain! She YELLED at me when I said, on a Friday afternoon, that I was losing the hydration battle and needed some IV fluids...."Why didn't you call me earlier???" said she, in a voice full of accusation and frustration...I replied "Well, because I didn't feel bad earlier!". I guess I ruined her schedule, although even if it HAD been and earlier call, she had no one in her infusion center on Fridays, anyway...sigh...

I'm so glad you are on top of this with your family troubles...when Hans was diagnosed with cardio myopathy and eventually heart failure, it was a surprise to us...then, all the family history started coming out of the woodwork...

Hugs, Kathi

cats_toy's picture
cats_toy
Posts: 1247
Joined: Feb 2009
November 7, 2009 - 3:16pm

I never heard of that either, what I did hear is that after chemo, there is a slightly higher risk of blood clots. Hope your tests results are good. I do have an EKG before each surgery (next one scheduled for Thursday), and everything looks fine, so I guess I don't have to worry.
Let us know when you get your results!
=^..^=

KathiM's picture
KathiM
Posts: 1518
Joined: Aug 2005
November 7, 2009 - 3:23pm

And I can exercise (we bought a stationary bike), so it can't be THAT bad...

Maybe just getting old...lol...55 this coming July. A magazine in the cardiologist's office talked of women and aging and heart troubles...he's thinking I should start baby aspirin, just like a man, once a day...lol...

Hugs, Kathi

lynn1950's picture
lynn1950
Posts: 1111
Joined: Jun 2008
November 7, 2009 - 4:25pm

Kathi,
When will you have your tests? Hope they can be all at once and over and that you will be just fine.

Did your cardiologist describe the recommended heart test protocol for adriamycin druggies? I had an echocardiogram before starting chemo, but have had no heart tests since. The echocardiogram was my very favorite test, too.

Be well. xoxoxoxoxo Lynn

carkris
Posts: 177
Joined: Aug 2009
November 7, 2009 - 6:54pm

I had an echo before the adria and was told i would not need another because i was not going on herceptin. The cardiologist said to do one a month off the adriamycin and I plan on it . I have to have another minor surgery and i want to be checked before I exersize also because I have heart disease in my family. and I am paranoid.

KathiM's picture
KathiM
Posts: 1518
Joined: Aug 2005
November 7, 2009 - 10:55pm

I HOPE it's nothing more than stress. But, considering I self-diagnosed the non-reality of my cancers to begin with, I have learned to check with the experts...so, I'll keep you all posted!

Hugs, Kathi

KathiM's picture
KathiM
Posts: 1518
Joined: Aug 2005
November 7, 2009 - 10:58pm

But as soon as they do, my doctor is going to schedule them as many as they can together...

I will ask about any recommended protocol...he just seemed surprised that an echo cardiogram wasn't done...

Thank you for the kind words, dearheart!

Hugs, Kathi

CR1954's picture
CR1954
Posts: 1044
Joined: Jul 2008
November 7, 2009 - 7:15pm

I'm very sorry to hear of your cardiac problem. And yes, you should have been monitored more closely, in my humble opinion.

I have not had an echo, but my onc ordered a MUGA scan before treatment began, and also after the A/C and Abraxane chemos were finished.

I hope things turn out ok...big hugs.

CR

KathiM's picture
KathiM
Posts: 1518
Joined: Aug 2005
November 7, 2009 - 10:53pm

I told my doctor that he could just pat me on the head and tell me it's just a stress reaction...just as long as it isn't the start of something more sinister. I'm a bit freaked out just because of the near-death experience this past March with Hans...I KNOW that heart disease is real...

Sigh...I just wish I would have known then what I know now...lol...

I guess that's why I volunteer so much to help 'newbies' thru the process...On top of all the red tape and insurance hassles, we have to deal with 'You have cancer' and all of the trappings...

Thanks for the warm words of encouragement!

Hugs, Kathi

chenheart's picture
chenheart
Posts: 2362
Joined: Apr 2003
November 7, 2009 - 11:04pm

I never had a a heart check ...not even once during my Adriamycin infusions, and none thereafter, either. My Dr never said anything about it; maybe once or twice in 6 years has he even brought out a stethescope, much less ordered any tests! Hmmmmmmmm....

Hope you get the clean bill sweetie; I'll be thinking of you!

Hugs,
C♥

KathiM's picture
KathiM
Posts: 1518
Joined: Aug 2005
November 7, 2009 - 11:07pm

It's probably a non-issue...lol...

Thanks, dear soul, for the warm words!

Hugs, Kathi

chenheart's picture
chenheart
Posts: 2362
Joined: Apr 2003
November 7, 2009 - 11:14pm

RIGHT! hahahahaha! Well, I did do the Santa Barbara Half Marathon today, so if my heart was going to stop, today would have been a good day! So far, so good.....

Hugs,
C♥

Moopy23's picture
Moopy23
Posts: 1293
Joined: Jan 2009
November 7, 2009 - 11:26pm

Kathi, after all you went through earlier this year, you and Hans, you are way overdue for good luck! I will be thinking of you and hoping for good test results.

Thank you for sharing, as you always have, so that others can benefit from your experiences. My second opinion onc. did tell me I would need to be monitored by a cardiologist familiar with chemo-related heart issues. I have been too distracted and busy with work and just getting my stamina up to even think about yet another round of testing.

Please keep us updated as you can. I always enjoy your vacation posts and pics and informative posts even though I may not post myself.

fauxma's picture
fauxma
Posts: 1042
Joined: Dec 2008
November 8, 2009 - 1:42am

Kathi
You are one of our true angels. My prayers are that this is stress related (with all you have had going on that wouldn't be surprising). And you are indeed one of the best guides to the newbies and to all of us. You have had much on your plate and I hope that this will not be something new to deal with because gosh knows enough is enough. Positive thoughts and hugs are beaming your way. I have always admired your strength and your support for all of us.
Stef

tommaseena's picture
tommaseena
Posts: 1114
Joined: Feb 2009
November 8, 2009 - 6:57am

Kathi,
I had an echocardiogram before I started A/C and then one after I finished A/C and then another after I finished Taxol w/Herceptin and I developed chemo induce cardiomyopathy so they gave me echos every three weeks until my ejection fraction was back to normal. Now that my ejection fraction is 60% my oncologist will have me have an echo every three months unless something comes up and then she will do one sooner.

Margo

BELIEVEx3
Posts: 22
Joined: May 2009
November 8, 2009 - 9:45am

ALL of us should have a baseline cardiac evaluation. You are never too young to have cardiac problems regardless of cancer treatment!
As I have posted previously, listen to your body and report nagging symptoms no matter how seemingly benign. Cardiac symptoms can be subtle discomfort between the shoulders, arm heaviness, jaw pain, shortness of breath, nausea, increased fatigue, and may not be mid-sternal crushing chest pain. Physicians often dismiss these symptoms and blame it on stress especially the stress of a cancer diagnosis. Coronary artery disease and cardiomyopathy can come early or late. It is essential to have an annual cardiac evaluation from a cardiologist as a part of your long term follow-up.
I had some of the above symptoms, was told I was too young, too fit and not at risk. MY TREATMENT placed me at risk. and not until my heart attack did anyone listen. We are teaching our physicians as we go along on this journey........and we must inform one another so that we can be our own best advocate. And the heart can be as insidious as cancer.......GET CHECKED EVERYONE! KNOWLEDGE IS POWER!
(I also speak as a cardiac nurse)

lynn1950's picture
lynn1950
Posts: 1111
Joined: Jun 2008
November 8, 2009 - 9:59am

One of the reasons I love this site. Thanks for the well-written "call to action." I will be sure to talk to my oncologist at my 3 month checkup in a couple of weeks. xoxoxoxo Lynn

KathiM's picture
KathiM
Posts: 1518
Joined: Aug 2005
November 8, 2009 - 8:06pm

It's one of the best sources for information around!!!!

Hugs, Kathi

KathiM's picture
KathiM
Posts: 1518
Joined: Aug 2005
November 8, 2009 - 8:05pm

I know that many women are misdiagnosed with heart attacks because the symptoms are different. That is why I'm not messing with this....let the cardiologist tell me I'm just a bit too cautious!!! ROFL!

I hope everything is smooth sailing for you now....thank you for sharing!

Hugs, Kathi

KathiM's picture
KathiM
Posts: 1518
Joined: Aug 2005
November 8, 2009 - 8:02pm

WOW! I can't tell you I was the same, because it's 4 years later...but I sure hope we can clear it now....having just gone thru the cardiac mess with Hans...

Hugs, Kathi

KathiM's picture
KathiM
Posts: 1518
Joined: Aug 2005
November 8, 2009 - 8:00pm

I sometimes lose my footing, but I always find my way back to you all!

I, too, hope this is nothing a good cruise can't fix...lol...

And thank you for your warm encouraging words!
Hugs, Kathi

KathiM's picture
KathiM
Posts: 1518
Joined: Aug 2005
November 8, 2009 - 7:58pm

I'm keeping the faith that it is nothing, but I won't make the mistake I made the last time, with cancer, of just laughing the whole thing off....

And thank you for the supportive words about my posts...I hope to be able to go more places so I can post from there, too!

Hugs, Kathi

Kat11's picture
Kat11
Posts: 749
Joined: May 2009
November 8, 2009 - 8:43pm

Hi Kathi, Wow, I have had 3 echo's so far. One before starting treatment. Another before starting Taxol & Herceptin and another just a few weeks ago. It was my understanding that the heart must be watched and anyone on herceptin it must be watched often.

KathiM's picture
KathiM
Posts: 1518
Joined: Aug 2005
November 8, 2009 - 9:14pm

...and he was even more irritated when I told him that I couldn't have my 4th AC because I was having irregular heartbeats, etc...

Especially after my first chemo round for the rectal cancer with cisplatin...also known for stressing the heart...

I will keep you posted, maybe all it will take is a bit of babying... with baby aspirin...ROFL!

Hugs, Kathi

jennytwist
Posts: 127
Joined: Sep 2009
November 8, 2009 - 9:29pm

Hi Kathi,
I had a MUGA before I started on the A/C - an eco after, as I ended up in the hospital with a totally different issue after my first round on taxol. (nothing to do with heart problems) No tests when I was done with chemo however. It's amazing to me how many different protocols there are when we all have a similar disease.
take care and keep us posted -
-Jenny