[Joe]

To ALL:

Important

Try to schedule your MUGA or ECHO as close as possible PRIOR to your scheduled day of receiving Herceptin.

Try to maintain this schedule for all future tests.

When infused, Herceptin will cause an ejection factor drop in all patients, if you are on a triple dose, your drop will be even more dramatic.

By changing your test schedule:

1. Your heart will be at its strongest
2. There will be less fluctuation if done at the same time in the infusion cycle.


Regards
Joe