Herceptin Heart Attack

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  • TonLee
    TonLee Member Posts: 2,626
    edited January 2012

    KHer,

    I'm sorry to read that.  The red devil is not kind to the heart, even worse than Herceptin.

    I hope your function improves and you remain cancer free.

    Hugs to you.

  • ArleneA
    ArleneA Member Posts: 1,309
    edited January 2012

    khertenst

    Good luck.  Kay is right in that the heart meds do help.  I have only an occassional heart palp now whereas before they were non stop.  Hoping my EF raises too which everyone says it will.  Keep us posted.

    Serenity:  Good post on the port removal.  Hadn't thought about the fact that most of us only have one arm to do blood draws from but as Lago does, we can all use our foot for the draws.  I just really want this creepy port out and I have great veins.

    Have a great Friday everyone.

  • Omaz
    Omaz Member Posts: 5,497
    edited January 2012

    serenity - There are 3 or 4 big trials in process comparing 6m to 12m herceptin.  I think one of them is nearing completion and hopefully will have data this year, the others are still in process.

    TonLee - I should use your line as my new year card sentiment 'I hope your function improves and you remain cancer free!'.  It's the truth!  (c: 

  • Teckler2
    Teckler2 Member Posts: 71
    edited January 2012

    Omaz, thanks for the link to this board! 

    Hi all, it is so nice to read that people are experiencing the same things I am. I have had 14 Herceptin treatments so far, and the last one was cancelled due to a 20% drop in the EF in 8 weeks. The MO said he wasn;t comfortable with the drop, but also doesn;t seem to be paying attention to me when I tell him how I feel, I have these horrible muscle cramps that wake me up at night, I get winded so fast when I try to do something, get the chest pains and palpitations, headaches, dizzy at times, and just sooo tired.

    The muscle cramps are strange. My feet will cramp at any time of the day, my legs mostly at night. I also get cramps in my back by my kidney area.

    The other thing too is I have gained so much weight, as of this morning, 45 lbs. If I am going to gain all this weight, I wish I could eat the stuff that would make me gain so at least i cound enjoy it and then know it was all my fault. :)  When I talk to my MO about the weight gain, he just tells me that weight gain is not a side effect of Herceptin, and most people just gain weight when they stop chemo because they eat more. I know I am a big girl to start with, but I am not eating like that. I even put myself on a liquid diet and gained 4 pounds.

    I also feel so dried out all the time, and even drinking water makes me feel so bloated and uncomfortable. I ate a half cup of veggies with a small piece of bread for dinner last night, and felt like I ate a 6 course meal. Does anyone else experience this?

  • TonLee
    TonLee Member Posts: 2,626
    edited January 2012

    Teckler,

    Welcome.

    So sorry to read about your difficulties.

    I don't think weight gain is a SE of Herceptin.  However, everything you're describing sounds a lot like hypo-thyroidism to me.  Dry skin, weight gain (without reason).  Are your brows thinning at the ends?  Moody?  Tired even after a whole night's sleep?  (I know it is hard to tell the first year after chemo!)  I usually get a puffy face with fatty rings under my eyes when my thyroid needs adjusted.

    The reason I'm asking is because I see you have 3 positive nodes and I'm assuming you've had RADS.  My RO said even if they don't hit the thyroid with Rads, the Radiation can make some women go hypothyroid, or the thyroid quit all together.  He said if this occurs, for some reason, it usually happens about a year out from Rads.  He didn't hit my thyroid but expects it to poop out anytime....

    My thyroid is currently wonky and I'm about 6-8 months out of RADS.

    All that to say, maybe you should ask for a thyroid blood test.  If they tell you it's "normal" ask for a copy of the lab  results.  (Like most things what is within "normal" range may NOT be normal for you.)  If you get the lab report I can help you interpret it...if you want.

    Also, being hypothyroid can cause HEART problems. I wonder sometimes being hypothyroid maybe predisposed me to heart problems on Herceptin...though I've read the opposite, I think in time they'll find a link, or several links, which tie Herceptin damage to some sort of individual pre-disposition.

    Anyway, hang in there. Your heart should bounce back (unless there is another unidentified underlying issue..which I'm starting to think is the case with me...)...the literature indicates most women get most of the EF back within the first 4 years.

  • rosemary-b
    rosemary-b Member Posts: 2,006
    edited January 2012

    I just wanted to let everyone know thatmy EF went back up to normal after about 2 years. It went down to between 15 and 20 five weeks after my last echo. According to my onc it shouldn't have gone down so far so fast and usually herceptin heart damage happens near the beginning of treatment. I only had 2 treatments left.

    To me that seemed like a long time even though I knew it could take even longer. I am on my second cardiologist who may also get fired. At my last visit he said that if heart function was going to improve, it would do so in the first 6-9 months. It is obvious he has not dealt with heart failure from Herceptin before. I don't think anyone around here has dealt with heart failure from Herceptin before.

  • rosemary-b
    rosemary-b Member Posts: 2,006
    edited January 2012

    Oh and I have gradually come off on heart meds. They are all blood pressure drugs and I have always had low to normal blood pressure. As my heart improved the cardiologist would ask me if I got lightheaded. I do sometimes when I stand up and when I said that he would take my off another med. I am on vacation from the last one because the cough it gave me made my asthna worse. I will probably go on something else when I see him next month.

     He doesn't know what to make of me because it took 2 years to get better.. Now I know why he didn;t want to schedule ECHOs or MUGAS after the first year. He didn't think I would improve anymore.

  • ArleneA
    ArleneA Member Posts: 1,309
    edited January 2012

    Rosemary:  Was the BP medicine you went off of an ACE?  I was on lisinopril and it causes a cough.  They took me off of it and I say again that studies we see here on Breast Cancer.org show the Ace's and a link to bc.  Glad I'm off of it!

    You are so right in that it is nearly impossible to find a cardiologist who gets it with respect to Herceptin.  Very frustrating indeed.

  • kennylynne
    kennylynne Member Posts: 152
    edited January 2012

    hello ladies I just got a call from my onc today to let me know that the results of my muga scan showed a drop in EF's was 62 before I started herceptin now after  5 doses I am at 50. For now have given me a herceptin holiday until I see cardio. What the hell???? I am so frigging upset about this. What happens if i can't finish herceptin? I am scared

  • rosemary-b
    rosemary-b Member Posts: 2,006
    edited January 2012

    Arlene

    Yes the last one was lisinopril. I thought the pulmonologist would put me on an ARB when I went back and told her my cough had gone away after I got off lisinopril.She didn't maybe the cardiologist will. I was told I would be on heart medicine for the rest of my life.

    I was taken of fcoreg because it made my asthma really bad. I fired my first cardiologist because I kept telling him for a year that my asthma was worse and he said I was on too small a dose to make any difference. The shortness of breath that everyone thought was from heart failurre `went away completely when I was on heavy meds for a severe asthma attack.He did not want me off coreg. Well I obviously didn't need it because my heart and lungs both got better when I was off it. 

  • Kay_G
    Kay_G Member Posts: 3,345
    edited January 2012

    Kennylynne, your situation sounds similar to mine. My EF went doe to 45 from 65 after 9 herceptins. I got a herceptin holiday and got retested. It was 47. I am taking an ace inhibitor and a beta blocker. I've had two more herceptins. I don't get another echo until march, but they are testing Troponin and proBNP before each herceptin to check on my heart function. That has been okay, so we'll see how it goes. I feel better, I thinkbecause the meds are helping. The cardiologist did tell me it is rare for your heart function to have a second drop. She said it usually gets better or stays where it is.

  • TonLee
    TonLee Member Posts: 2,626
    edited January 2012

    Kenny,

    Herceptin's cardiotoxicity is a problem for a lot of women.  The good news is, there are trials going on right now that compare 6 months of H to 12 months.  One finished at the end of 2011, and the other finishes 2013.  It will be at least 5 years before we know "for sure" if 6 is as good as 12, but I'm hoping data starts coming out soon at the 1 year mark, 2 year, etc.

    Were your 5 doses every week?  Or once every 3?

  • kennylynne
    kennylynne Member Posts: 152
    edited January 2012

    Thanks ladies but what happens If i can't finish herceptin???? I am having herceptin every 3 weeks and this Thursday would have been my 6th

  • Omaz
    Omaz Member Posts: 5,497
    edited January 2012
    Kenny - They had good results with the small FINHER study where they only gave 9 weekly treatments of herceptin total. LINK
  • ArleneA
    ArleneA Member Posts: 1,309
    edited January 2012

    Kay:  You are so fortunate to have a knowledgeable cardiologist.  I'm out on the hunt! 

    Kenny:  Hopefully, you'll be like a few of us in that they start you up again on the Herceptin.  I'm on my second hold and positive they will start it again!  Good luck and try not to worry too much!

  • kennylynne
    kennylynne Member Posts: 152
    edited January 2012
    Thanks Ladies still waiting to hear from cardio!!! Trying to stay postive about this but for fu@k sakes I just can't believe it....... nothing can be simple. Just want to have some security in all of this.Frown
  • MemaSue56
    MemaSue56 Member Posts: 2,129
    edited January 2012

    Hey Ladies.....Thanks for all the info/perspective each of you contribute to this thread.  I have decided....based largely on what you all have shared....to tell my onco that if my scans the end of March continue to show NED, then I want OFF the Herceptin.  By scan time in March I will have had 26 30 minute Herceptin drips.  I will have a MUGA on the f30th of this month, but have had no ill SE's since July, so am not worried.  But...why continue if I'm doing so well is my thought.

    Prayers and positive thoughts always to all!

  • ArleneA
    ArleneA Member Posts: 1,309
    edited January 2012

    Good luck Mema.  Stay positive.  It will all work out.  I just moved here from Pahrump...not too terribly far from you.  Assume you are going into Vegas for your treatments.  I had all mine at NV Cancer Institute...great place!  You know, you have to decide what is best for you and only you can make that decision.  I wish you the best!

  • MemaSue56
    MemaSue56 Member Posts: 2,129
    edited January 2012

    ArleneA....really, Pahrump....tooo cool.  My babysitters, neighbors, in the early 70's moved out there (to Pahrump)   Some still live there.  So, I've been there a few times...in fact, my hubby n I thot of retiring to Pahrump in '97...but no, we went to Montana instead.  But now back in NV, but so glad n Mesquite. 

    Yes, have been doing my treatments in Vegas, even tho St George, UT closer.  But his and my kids in Vegas, soooo.  Anyway, my team is with Comprehensive Cancer Centers of NV.  In researching, found too many unsettling things bout NV CC.  So, Love my team, and am trucking on even tho I pretty much kno the limitations. 

    Thank you sooo much for your positive words n thoughts (am retired dispatcher, so I abbreviate alot)....will keep you and all my other sisters in my prayers!

  • ArleneA
    ArleneA Member Posts: 1,309
    edited January 2012

    That's funny Mema.  Hubby and I looked at moving to Montana where our Vegas friends retired.  I was going to Comprehensive but friends were volunteering at NVCI so I went there instead.  You know the protocol is pretty much the same whereever you go.  I did love my doctor at NVCI and all the staff...yeah they had and are having their share of problems but UCSD Medical Center has jumped in an purchased them....I get all the notices.  Pahrump was ok but just not for us. 

    So nice chatting with you and I so wish you the best....the Herceptin thing is a tough one for those of us realing with heart issues.  My nephew is a cop in Vegas so I'm accustomed to abbreviations and you see so many on bc.org.

    Best to you!

  • MemaSue56
    MemaSue56 Member Posts: 2,129
    edited January 2012

    That is funny...ur nephew a cop.  My hubby retired after 30 years a cop, me 20 years a dispatcher with Metro.  There musta been a dozen retired Metro in Montana....wonder if we have friends in common.  Did they live in the Bitteroot area?  Hamilton, Victor, Corvalis?

  • ArleneA
    ArleneA Member Posts: 1,309
    edited January 2012

    Actually my nephew is a NLV cop!  Our friends live in York, MT - outside of Helena!

  • MemaSue56
    MemaSue56 Member Posts: 2,129
    edited January 2012

    Ahhh....still a small world tho huh.  Well...Thanks for all your positive thoughts....I hafta call it a night. Will talk again soon....prayers ....Sue

  • ArleneA
    ArleneA Member Posts: 1,309
    edited January 2012

    Night Mema.  Getting late here on the east coast!  Take care!

  • YaYa5
    YaYa5 Member Posts: 667
    edited January 2012

    i've read this entire thread and i have a concern.  i started herceptin with chemo in july and have had three herceptins only since i finished chemo in november for a total of 8 herceptins.  my first echo EF before chemo was 60-65%.  the second one, three months later, was 60-65% again.  however, my EF last week was 50-55%.  i had the echo after i saw my MO and then had herceptin later in the day.  the chemo nurse called the MO's office and they said i was fine to do herceptin.  i never talked to my onco, though, and now i'm concerned.  is it ok to drop 10 points, even though i'm still in the 'normal' range?  will it go down even more with my next echo in three months?  i guess what i'm asking is if the EF drops, will it continue to drop?  should i talk to my MO about this?  obviously, his nurse wasn't concerned about this latest EF.  thoughts?

  • achpurple
    achpurple Member Posts: 290
    edited January 2012

    YaYa:  My numbers were similar to yours - I think maybe 55-60% at the start, then in 3 mo it was 60-65% then the last time it was 50-55%.  I freaked out, but my cardiologist said that it's still within normal range and that all doctors read the results differently so they really just look at the fact that all the results are within normal range so far for each echo.  I did just have another echo on Monday and haven't heard the results.  My cardiologist is familiar with Herceptin and is also a cancer survivor so he knows I'm scared to death to get Herceptin.  The last time I was in there, I was asking if they could just do at least a troponin level before each of my last 3 infusions and they looked at each of my echos and compared all my numbers for each one and said they did not see a marked change to indicate that I needed any troponin levels drawn before each Herceptin.  I felt better once I saw them look at each echo and compare it instead of just looking at the result numbers.  I'll let you know when I hear the results of the newest one.

  • TonLee
    TonLee Member Posts: 2,626
    edited January 2012

    Yaya,

    It is my understanding that as long as you stay above the 50% mark you are considered still within "normal" range.

    Normal is all they require to administer Herceptin.  I dropped over 20 points, but it wasn't until I went below 50% EF that Herceptin stopped.  And the Herceptin literature put out by the company also suggests stopping below 50%.

    I don't think anyone knows for sure how your heart will respond (by going down more or staying steady) that is why they do the echo/muga every 3 months. 

    If it is any consolation, I don't believe it could drop enough to kill you.  35% EF is survivable.  That is the percentage it takes for Medicare to pay for a pacemaker.  My Uncle has one, and that was the "magic" number.

    My FIL has an EF of 18% and no pace maker...NO KIDDING!  He gets tired easy, lips are often blue, etc, but he still gets on his tractor and works.  Though a flight of stairs will make him pass out.

    That's worst case tho.

  • ArleneA
    ArleneA Member Posts: 1,309
    edited January 2012

    I guess it all depends on the doctors as to whether they stop it or not.  Mine started at 70 something, dropped to 66.6, then to 60 and three months later to 51 which they thought was a big drop so they stopped it again.  I feel pretty good except for the dizziness which I think is more from all the beta blockers they have me on.  Switching to COREG in a day or so and a lesser amount than all the Metropolol I'm on and hoping that helps.  I don't get another echo until next mid-March but I might insist that they do it sooner so I can get on with the Herceptin.  If it drops big again.....we will see!  When I had the last MUGA here in Florida (all the others were in NV), these guys thought it was my pre-chemo testing and all the doctors have told me that 50 is normal.  My concern is that it started so high but I was doing tons of running before all of this.

  • Kay_G
    Kay_G Member Posts: 3,345
    edited January 2012

    50 seems to be the magic number yaya. Mine was 45 to 50, and they stopped it for just one cycle, then resumed. But they did put me on a beta blocker and ace inhibitor. I know it all sounds so close, but I think if I had been 50 to 55 instead of 45 to 50, I wouldn't be on the meds or have been given the holiday from herceptin. Not getting another echo until March, so hoping it is staying the same or improving. The cardiologist told me it is very unlikely that it will drop any further. Seems like that "unlikely" crap keeps happening to me though. I think we all need to try our luck at the lottery!



    Arlene and MemaSue, how cool that you have a connection!

  • Kay_G
    Kay_G Member Posts: 3,345
    edited January 2012

    Oh guess I am wrong about 50 being a magic number. I guess that is just where I go. It sounds lke it's all a bit of a crap shoot!

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