Nick's Remaining Kidney & Blood Pressure Issues
We had to see a cardiologist about Nick's blood pressure. His BP has not been controlled with either Amlodopine, Felodipine, Ramipril or Losartan although at least with the Losartan there were no side effects. However finally the Oncologist suggested that Nick should see a cardiologist - this was during his 3rd cycle of Sutent.
We saw him and I was a little concerned that he mentioned very casually about a secondary tumour in the pericardium which has never been mentioned by his Oncologist. All we have been told is that he has a secondary in his lung with mets also on the pelvic bone and collarbone. We have an appointment to see his oncologist on Thursday at which time I will be asking more about this.
However, with the BP he was asked to wear a 24 hour BP monitor and yesterday we received the copy letter from the cardiologist. Can anyone help decipher it please?
"Average daytime BP is 161/105 and no nocturnal dip with a blood pressure of 160/105. The urine albumin creatinine ratio is elevated at 3.74 indicative of the present of end-organ damage. U&Es again are slightly abnormal with a creatinine of 114. Thyroid function is normal. NTproBNP is normal so no evidence of heart failure at this stage. The echocardiogram shows some mild LVH with an IVSD of 1.3, posterior wall of 1.2, there is mild aortic sclerosis but in other respects the heart is normal."
Now when he had an echo and ECG in November 12 we were told that he had the heart of a healthy 40-45 year old (Nick is 58). Nothing was said when he was in hospital in December 12 for the nephrectomy either.
Nick completely freaked out yesterday when he read the words 'end organ damage' especially as the cardiologists secretary also told him over the phone that his only remaining kidney had end-organ damage. He is now terrified that his kidney is failing and that he will end up either on dialysis or dead.
The cardiologist has suggested Losartan 50mg BD with a small dose of Indapamide (diuretic) - does BD means 50mg twice a day or 50mg in a day ie 25mg morning and 25mg evening? He is currently taking 25mg morning and 25mg evening.
Any help, clarification or advice that anyone can give would be so helpful and very gratefully received.
It was bad enough that he only realised in the last two weeks that Sutent will not last forever and he will have to (at some time in the future) move to another TKI or hopefully a PD1 if they are (a) around and (b) Nick is still alive (as he puts it).
He is feeling really down and reeling from the cardiologists report.
- All Discussion Boards
- 6 CSN Information
- 6 Welcome to CSN
- 121.4K Cancer specific
- 2.8K Anal Cancer
- 442 Bladder Cancer
- 307 Bone Cancers
- 1.6K Brain Cancer
- 28.5K Breast Cancer
- 395 Childhood Cancers
- 27.9K Colorectal Cancer
- 4.6K Esophageal Cancer
- 1.1K Gynecological Cancers (other than ovarian and uterine)
- 12.9K Head and Neck Cancer
- 6.3K Kidney Cancer
- 669 Leukemia
- 788 Liver Cancer
- 4.1K Lung Cancer
- 5.1K Lymphoma (Hodgkin and Non-Hodgkin)
- 234 Multiple Myeloma
- 7.1K Ovarian Cancer
- 55 Pancreatic Cancer
- 487 Peritoneal Cancer
- 5.3K Prostate Cancer
- 1.2K Rare and Other Cancers
- 533 Sarcoma
- 715 Skin Cancer
- 646 Stomach Cancer
- 190 Testicular Cancer
- 1.5K Thyroid Cancer
- 5.8K Uterine/Endometrial Cancer
- 6.3K Lifestyle Discussion Boards