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Old 06-01-2012, 06:46 PM   #1
7andcounting
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Bad heart news.....wah!!!!!!!!

Hello All,

Well the fun just never stops. Just when I think I know the plan, life springs new things on me.

I just got through jumping through all the hoops to qualify to be on the TDM-1 trial. Got my tissue sample verified that I was Her2+, had every scan imaginable and thought I was all set to be randomized to one of the arms of the trial, when I got a call that my heart function was very low.

Shock!

I have been having echos every 3 months and all was fine. I asked to have a MUGA to confirm that the echo was correct, b/c it didn't seem possible that my heart function could have deteriorated that much, but the MUGA confirmed that it was indeed true.

My question is: Has anyone had their heart function drop significantly, then gone off Herceptin for a few months and then had their heart return to better levels that let them resume their Her2+ targeted therapies?

Any insight is appreciated!

Thanks!
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Old 06-01-2012, 08:46 PM   #2
BonnieR
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Re: Bad heart news.....wah!!!!!!!!

I have no insight into your situation but just wanted to show some solidarity with you. It seems that anymore, "it's always something". Not as signifigant as your setback, but just every time one thing settles down, there is another to take it's place. I feel like they just line up and take turns. I would like just a week or two when absolutly nothing medical needs my attention. All I can say is, keep the faith. And I know others will be along to give you a hand.
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Post menopause
May 2007 Core biopsy, Rt breast
ER+, Pr-, HER2 +++, Grade 3
Ki-67: 90%
"suspicious area" left breast
Bilateral mastectomy, (NED on left) May 2007
Sentinel Node Neg
Stage 1, DCIS with microinvasion, 3 mm, mostly removed during the biopsy....
Femara (discontinued 7/07) Resumed 10/07
OncoType score 36 (July 07)
Began THC 7/26/07 (d/c taxol and carboplatin 10/07)
Began Herceptin alone 10/07
Finished Herceptin July /08
D/C Femara 4/10 (joint pain/trigger thumb!)
5/10 mistakenly dx with lung cancer. Middle rt lobe removed!
Aromasin started 5/10
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Old 06-01-2012, 09:14 PM   #3
StephN
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Re: Bad heart news.....wah!!!!!!!!

Hello 7 -
Many of us here have had our LVF drop, and have taken a Herceptin holiday to let things normalize. Some of the members here have needed to see a cardiologist and get on a med to get things back to normal. Others of us have just decided to walk a lot and take CoEnzyme Q10 in a dose effective for helping our heart.

If you use the search function, you will find a lot a posts and thread on heart problems.

Assuming your heart function is too low right now to get into the trial?

Best of luck for solving this setback.
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"When I hear music, I fear no danger. I am invulnerable. I see no foe. I am related to the earliest times, and to the latest." H.D. Thoreau
Live in the moment.

MY STORY SO FAR ~~~~
Found suspicious lump 9/2000
Lumpectomy, then node dissection and port placement
Stage IIB, 8 pos nodes of 18, Grade 3, ER & PR -
Adriamycin 12 weekly, taxotere 4 rounds
36 rads - very little burning
3 mos after rads liver full of tumors, Stage IV Jan 2002, one spot on sternum
Weekly Taxol, Navelbine, Herceptin for 27 rounds to NED!
2003 & 2004 no active disease - 3 weekly Herceptin + Zometa
Jan 2005 two mets to brain - Gamma Knife on Jan 18
All clear until treated cerebellum spot showing activity on Jan 2006 brain MRI & brain PET
Brain surgery on Feb 9, 2006 - no cancer, 100% radiation necrosis - tumor was still dying
Continue as NED while on Herceptin & quarterly Zometa
Fall-2006 - off Zometa - watching one small brain spot (scar?)
2007 - spot/scar in brain stable - finished anticoagulation therapy for clot along my port-a-catheter - 3 angioplasties to unblock vena cava
2008 - Brain and body still NED! Port removed and scans in Dec.
Dec 2008 - stop Herceptin - Vaccine Trial at U of W begun in Oct. of 2011
STILL NED everywhere in Feb 2014 - on wing & prayer
7/14 - Started twice yearly Zometa for my bones
Jan. 2015 checkup still shows NED
2015 Neuropathy in feet - otherwise all OK - still NED.
Same news for 2016 and all of 2017.
Nov of 2017 - had small skin cancer removed from my face. Will have Zometa end of Jan. 2018.
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Old 06-02-2012, 04:54 AM   #4
NEDenise
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Re: Bad heart news.....wah!!!!!!!!

Good Morning!
Yes, indeed! I had to take a Herceptin Holiday in February. After 4 weeks of walking, and two different meds (Coreg and Enalipril)
my EF jumped from the low 40s, back to 60%.

Ironically, my blood pressure was never actually "high"...I think my highest ever was 140/80...but that was high for me, since I usually hover around 95/60. The cardiologist said for me, the 140 was high and was putting strain on my heart...not allowing it to heal between Herceptin infusions.

I honestly just did NOT want to take heart or blood pressure meds...but then I never thought I'd need cancer meds either... anyway... I have to admit...I feel more energetic than I have in quite a while...so I guess the doc was right. She also recommended fish oil. I think her exact words were, "Every adult would benefit from fish oil, heart problem or no", and although she doesn't believe CoQ10 will have any benefit...she okayed that too.

Are you under the care of a cardiologist? Luckily I had agreed to be part of a study regarding Herceptin and heart health...so she was watching over me anyway. If your insurance will allow it, it might give you peace of mind to check in with a cardiologist who is familiar with the whole "Herceptin thing". Maybe your onc could recommend one?

I hope your heart bounces back as quickly as mine did! And good luck with TDM-1!!
Denise
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1/11-needle biopsy
2/11-Lumpectomy/axillary node dissection - Stage 3c, ER/PR-14/17 nodes
3/11 - Post-op staph infection,cellulitis, lymphedema,seroma,ARRRGH!
4/12/11-A/C x 4, then T/H x 4, H only,Q3 weeks
8/26/11 finished Taxol!!!
10/7/11 mastectomy/DIEP recon
11/11 radiation x28
1/12/12 1st CANCER-VERSARY!
1/12 Low EF/Herceptin "Holiday" :(
2/12 EF up - Back on Herceptin, heart meds
4/2/1212 surgery to repair separated incision from DIEP recon
6/8/12 Return to work :)
6/17/12 Fall, shatter wrist,surgery to repair/insert plate :(
7/10/12 last Herceptin
7/23/12 Brain Mets %$&#! 3cm and 1cm
8/10/12 Gamma knife surgery, LOTS of steroids;start H/Tykerb
8/23/12 Back to work
12/20/12 Injure back-3 weeks in wheel chair
1/12/13 2nd CANCER-VERSARY!
1/14/13 herniate disk in back - surgery to repair
1/27/13 Radiation necrosis - edema in brain - back on steroids - but not back to work - off balance, poor cordination in right arm
5/3/13 Start Avastin to shrink necrosis
5/10/13 begin weaning steroids
6/18/13 Brain MRI - Avastin seems to be working!
6/20/13 quarterly CT - chest, abdomen, pelvis - All Clear!
7/5/13 finally off steroids!!
7/7/13 joined the ranks of the CHEMO NINJAS I am now Tekuto Ki Ariku cancer assassin!
7/13/13 Symptoms return - back on steroids
7/26/13 Back on Avastin - try again!
8/26/13 Not ready to return to classroom yet :( But I CAN walk without holding onto things! :)
9/9/13 Brain MRI - fingers crossed
“ Life is a grindstone, and whether it grinds you down or polishes you up is for you, and you alone, to decide. ” – Cavett Robert
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Old 06-02-2012, 08:14 AM   #5
7andcounting
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Re: Bad heart news.....wah!!!!!!!!

Thank you for all the advice so far. I ride a stationary bike....is this is good as walking?

I am not able to be on the study due to my low lvf, and the study nurse said it might be that now I have a history of this problem and it will make it so I can't be on the study at all...even if things get better. She is checking on this.

I will get the name of a cardiologist. Good to know that there is something that I can do to try to raise this number.

Thank you!
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