Herceptin Heart Attack

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

    Eve,

    Right on about heredity.  Both my parents are hypo, and there is even thyroid cancer in the immediate family.

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

    Hope you are pleasantly surprised and the new doc is good with the medication. If you have been on it and it works for you, I can't imagine a doctor would have a problem with it.



    Had herceptin #16 today. No problems at all. My probNP test came back the lower it's been in a few months, and the liver function tests too. Woo Hoo! Two more to go and finally have my life back. Can't wait.

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

    Yeah Kay!  How exciting for you.  So happy you've been able to finish...what a great feeling.

    I'm going for my 3 month check up with the onc next week and I'm going to see if she'll do those heart tests...I need to have that warm and fuzzy.

  • Hindsfeet
    Hindsfeet Member Posts: 2,456
    edited May 2012

    I saw my primary doctor today. My oncologist referred me to my primary doctor to prescribe the  ACE Inherbitor. Since asking for it, I changed my mind about taking it due to side effects. My doctors nurse ask me to come in anyway. My doctor was surprise why my oncologist referred me to her when she should have referred me to my cardio doctor. She did say she would had put me on a low dose ACE Inhibitor but after hearing my story she thought I needed to be under the care of my cardio for any inhibitor or beta blocker. She was reluctant to put me on anything due to my irregular heartbeat and EF 50.

    I've been having a lot of worsening bone pain in my right arm and shoulder. I mentioned it to my doctor thinking it was nothing more than fighting a frozen shoulder from the surgeries ... although my shoulder isn't stiff or frozen.. But wondered at times if it could be cancer. She said, you will wonder this the rest of your life.. Even though we do or don't do treatments mentally it's never quite over. I haven't said anything to my oncologist because I had a PET scan in December, and other than the breast cancer it was clean. I don't want to complain about every little pain that comes my way and cry wolf when it's nothing at all. It's been a bother since the second surgery so I'm not too worried as I'm pretty sure it's noting.

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

    Congrats Kay!  That's wonderful...woo hoo!!

    Eve,

    My opinion......lol.   

    I think a wise rule of thumb when it comes to pain is 2-3 weeks.  If it persists....then perhaps it is something that needs medical attention.  Doesn't mean it is cancer....it could be multiple things.

    Pain tells us....HEY!! HELLO!!!  SOMETHING IS WRONG HERE.

    Honestly I think BC survivors can suffer from different levels of PTSD.  What other explanation is there when before BC I would have pain for a couple weeks, pop an aspirin, and move on...where as now, at 2 weeks I'm practically planning my funeral!  (I'm not implying you are this way...but I tend to go there.)

    Was I ignoring my body before?  Yes.  Do I over-react mentally now with pain?  Yes.  Heh.

    Please go get it checked if it's been over a couple weeks and the pain is still there.  It may not be cancer, but it could be something else...something with an easy fix. At the very least you will give your mind some relief!

    PS..Did your primary care doctor give you a referral to a cardiologist?

  • Hindsfeet
    Hindsfeet Member Posts: 2,456
    edited May 2012

    Tonlee, I hear you. The pain has been there for almost six weeks. It used to come and go but now it's there all the time. It sorta feels like a frozen shoulder pain in the arm. The difference is I can lift my arm and use it without any problem (frozen shoulder pain I couldn't lift my arm).  I will mention it to my oncologist when I see her in 3 weeks.

    My primary care doctor recommended a teaching hospital in Portland. There is another hospital that specializes in heart that I'm checking out first.

  • dancetrancer
    dancetrancer Member Posts: 4,039
    edited May 2012

    Wonderful news kay!!!  

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

    Darn, my crazy heart palps have begun again. I think I need to go back to the Metropolol (sp) versus the Coreg.  Back to the onco, I go.  I'm wondering if the Armidex can cause any of this!

  • JulieLynn
    JulieLynn Member Posts: 144
    edited May 2012

    My herceptin has been stopped for the last month due to my ejection fraction on echo dropping to 48%.  A week ago it had risen to 50-53%.  I'm scheduled to restart herceptin again on Monday, 5/14.  Has anyone ever had to stop it, then restart it, and THEN stop it again?  If so, were you ever able to finish the complete treatment?  I've had 18 of 52 treatments so far.

    My joint pain has also disappeared in this time off - It will be interesting to see if that's the SEs from Taxol going away or the herceptin.  Fingers crossed it's the Taxol that was causing the problems!

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

    Hi Judy:  Yes, many of us have stopped and started, etc.  and several of us have been stopped officially.  I made it through 10 of 18 treatments.  My last one was end of November and when my EF dropped from 60 to 50 and only came back to 51, that was the end for my onc.  She didn't want to risk another big drop taking me below 50.

    Hoping you can complete yours.  I'm sure they will watch you every so closely.

  • Grimbol
    Grimbol Member Posts: 326
    edited May 2012

    Evebarry, i dont post here much but i do read it most days. I am doing only herceptin now having finished chemo in Nov. I am having exactly the same shoulder/arm issues. It has been there for several weeks and just getting more annoying as time goes on. Today i saw my onc (and had herceptin). He thinks it might be arthritis, you could hear and feel the click as he rotated my arm. I have full range of motion it just hurts, even pressing the buttons on the microwave some days, reqching out for things. Anyway he prescribed me Celebrex and did an xray. I'll see how it goes. I am a bit nervous about taking yet another drug though, anyone have any info on Celebrex. Although I dont want it to be anything arthritis siunds better than cancer!

  • Hindsfeet
    Hindsfeet Member Posts: 2,456
    edited May 2012

    I have a echo on Monday. I may have to take a break. If I do continue or go back on it I am going to ask for weekly low doses of herceptin. Monday I have a appt with the plastic surgeon, then a ct injection and go straight to the echo followed by a ct scan. I come home and go to a meeting with local artist in my area for an upcoming art festival :) . I will see my oncologist Wednesday and I will find out then if my EF is lower than 50.

    I hate that I feel so tired most of the time. Life is mind over matter. My daughter thinks the herceptin is aging me. I hope not.

  • Hindsfeet
    Hindsfeet Member Posts: 2,456
    edited May 2012

    Grimbol, I am surprised your oncologist didn't first ask you to do a ct scan. My oncologist wants to first rule out cancer. My arm pain is probably b9. It might be nothing more than the onset of a frozen shoulder as it began hurting right after my last reconstructive surgery. I don't think it's a arthrits as it doesn't involved the joint and I don't have arthrits anywhere else. I did say to the doctor that it maybe the beginning of a frozen shoulder, but I can lift my easily lift my arm.



     

  • dancetrancer
    dancetrancer Member Posts: 4,039
    edited May 2012
    For those of you with shoulder problems, after the proper tests have been run, if it is ruled "arthritis" or "tendonitis" or "frozen shoulder", please ask for a referral to physical therapy.  It can make a huge difference (Disclaimer, yes, I'm biased, yes, I'm a PT. Tongue out)
  • dancetrancer
    dancetrancer Member Posts: 4,039
    edited May 2012

    Hey all, 

    I just ran across a good summary from bc.org on extra testing that can be done when on Herceptin.  It is nice to see some additional confirmation about the troponin test and also data showing the 3 month mark is important. BTW, my both my heart bloodwork tests came back normal.  I'm not sure how often my onc will run them for me, but they sure did give me some peace of mind about continuing on. 

    New Technique May Find Heart Damage Earlier

    Here's an excerpt:  

    Women who had a 10% increase in longitudinal strain 3 months after treatment started were 500 times more likely to have serious heart problems later.

    About 66% of the women who were later diagnosed with serious heart problems had elevated troponin levels 3 months after treatment.

    The results suggest that measuring longitudinal strain and troponin levels can help figure out if heart problems are starting to develop much earlier than traditional ejection fraction testing. Knowing earlier that heart problems are developing could help doctors adjust the treatment plan to avoid further damage.

     ....

    While longitudinal strain testing is considered experimental, many doctors do check troponin levels to detect heart problems early. You may want to ask if checking troponin levels makes sense for you. 

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

    Thanks Dance and congrats on the positive tests.  Those levels are on my list for the onc tomorrow for my 3-month check up and blood test results.  The cardios pooh it.

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

    BIG Surprise.  Going back on Herceptin tomorrow.  She'll do 3 more months (14 treatments) and call it good.  My CTC was still zero and all tests good with no concerns.  My WBC and RBC are still a bit off but she called it normal.  I'll ask my internal medicine doctor.

    I must admit I'm a bit concerned about the Herceptin after nearly 6 months and I was so ready to have this port removed.

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

    Arlene,

    Remind me again, what was your latest EF?  Has it improved?  Any?

    Keep us posted...and monitor that heart!  Any wonkiness and you should go straight to the ER.  (I learned that lesson the hard way!)

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

    That's my mental problem in that my last EF was 55 and it started at 73....so that REALLY frightens me.  When she stopped me 6 months ago, it was 50 so that really isn't a big improvement.  I thought we could only stay off 3 months but I called Genentech and they said there is no timeframe.  They also wanted all the information about my heart as they indicate most doctors don't call to report the heart problems associated with Herceptin and they really need to know so if your doctor has not called, you all need to call them and report your issues....they will never know otherwise and it will continue dow the path that the heart SE's are a very low percentage.  Doctor also told (and I'm really surprised she said it) that my chances of my bc returning are slim.

    What do you mean by wonkiness?

  • dancetrancer
    dancetrancer Member Posts: 4,039
    edited May 2012

    You can also report adverse events to the FDA, which I think would be really important with a new drug like Herceptin:

    Reporting Serious Problems to FDA 

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

    Did you report your SE's?  I'm really thinking this through and will probably go for tomorrow's treatment at the infusion rate of first time (that will be my requirement) and then I'm seeing my onc before I continue.  I want another Echo or MUGA before I go on to the next.  Tomorrow will be #11.

  • dancetrancer
    dancetrancer Member Posts: 4,039
    edited May 2012

    Arlene - I assume you are talking to me?  I haven't reported anything for Herceptin (b/c I have no issues as of yet), but I tried to report my reaction to Cipro that I had a few weeks ago.  The online form wouldn't work for me.  I am going to try calling the phone number listed tomorrow.  Here's the number listed on the consumer page:

    Call FDA at 1-800-FDA-1088 to report by telephone
     

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

    Thanks Dance.  I'll call FDA also...

    Glad you are doing well and no problems with Herceptin.

  • Hindsfeet
    Hindsfeet Member Posts: 2,456
    edited May 2012

    Tomorrow morning I see my oncologist. I will find out the results from my recent echo and bone scan. I complained about my right forearm pain and my oncologist sent me in for a full body scan...from head to toe. I was surprised! I never had a bone ct scan so it was interesting. If my echo drops lower than 50, my oncologist is giving me a break to see if my heart returns to normal. I'm am sooooo ready for a break from herceptin. My immune system is shot. I hate dealing with mouth sores. I had yogurt through a straw for dinner. I just want to feel good again.

    If I ever did get bone cancer and I couldn't take herceptin due to my heart function or lack of function, I would be in a pickle. There is a new drug like herceptin coming out, antibody from a human rather than a mouse. It's not suppose to have as severe side effects as herceptin. There is alternative, but unaffordable. I HOPE I don't ever again have a cancer dx. I'm not sure I can handle anymore treatments. I don't deal with side effects very well.

  • kdking
    kdking Member Posts: 73
    edited May 2012

    Had another MUGA yesterday...if my EF improves at all from 37% we will start Herceptin again. My appt isn't until next Wednesday....I could call for the results but I think I will wait.

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

    Arlene,

    Wonkiness = rapid irregular heart beat

    KD King,

    I've read that if there is improvement within the first 3 months, odds are the EF will continue to climb even with re-starting Herceptin.

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

    Thanks TonLee:  My irregular heartbeat has never gone away since my first chemo.  Odd that the EKGs or doctors can't see it when I can feel it and actually see it through my clothes.  Another reason I'm so concerned about starting Herceptin again.  I cancelled today's appointment to think about it some more.  I so wish there was a cardio in town familiar with Herceptin.

  • Hindsfeet
    Hindsfeet Member Posts: 2,456
    edited May 2012

    Arlene, I can see my heart beat through my clothes and feel it. I'm not sure the echo records the irregular heart beat. They just say it's harmless PVC's. I never had them before herceptin.

    I asked for another Cardio doctor, who knows about herceptin. The one I had knew nothing of it before seeing him and I feel as if he's shooting in the dark.

    I saw my oncologist today. To continue herceptin all depended on todays results. I really thought my EF would had dropped below 50, but it's up to 55+, which means I'm stable. It's still 10% below the 65 I was before herceptin.  MY oncologist said I am considered stage 0 for heart issues, which is borderline for heart prolems. She of course wants me to continue herceptin for the year. One year for stage 1a feels like over treatment.   I don't like the side effects of herceptin so my oncologist is scheduling me to a once a week herceptin with 2 mg each time to see if this helps. I'm scheduled for next Monday. Part of me wants to quit and the other part feels it's right especially after watching the movie Living Proof.

    My bone scan was clean. Relieved! The last few days the right arm bone pain has moved into the joint feeling more like the onset of a frozen shoulder. I need to start swimming again. But, the plastic surgeon called to schedule the last surgery. I am not looking forward to another surgery, but I would like semetry so I look half way decent in my summer fitted shirts.

    For now, I'll go with the once a week herceptin and with my busy summer schedule try to not think that much about cancer. Hopefully with the weekly infusions, I won't have side effects and be able to enjoy the sunny days :)

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

    Eve:  Did you do TCH?  I started at 73.6 and now at 55....I just don't know what to do....Thanks for your feedback, it makes me feel better.  Oh yeah, I keep hearing about the harmless PVCs that didn't start until Chemo #1....two ER trips.  My friend who is an RN here in town (but knows very little about Herceptin) says do smaller doses more often, so next week I'll go see my onc again and ask.

    Arlene

  • Grimbol
    Grimbol Member Posts: 326
    edited May 2012
    evebarry, I had a regular x-ray, no scan, he was pretty sure it was just arthirtis.  The Celebrex seems to be helping, although on Monday it was pretty bad and I was almost convinced I had LE! Can you get LE from a SNB? but then Tuesday it wasn't too bad again and it's been fairly ok this week.  So tired of wondering about every ache and pain!

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