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03-23-2006, 03:25 AM
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#1
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Senior Member
Join Date: Sep 2005
Location: Grand Rapids, MI
Posts: 1,516
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***Question on "acceptable" heart rate***
Hi everyone,
I had my most recent Herceptin this past Thurs and the last few days when I have been walking on the treadmill, when I check my "heart rate" on the monitor, my starting heart rate is like starting rate 80, mid 52, mid 62, and ending 108. The ONLY echo I had was 8/15/05, just prior to starting Herceptin and when I last saw my onc, he said we will plan on staying on Herceptin until 8/10/06, but has made no mention of further echos, should I have this checked out or is this nothing to worry about? Thank you.
Rhonda
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03-23-2006, 05:34 AM
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#2
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Senior Member
Join Date: Sep 2005
Location: Minneapolis, Minnesota
Posts: 127
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Hi Rhonda. You should have had a base line MUGA prior to Herceptin. Then at 3 months, then another 3 months. At this point you need to insist on having a MUGA ASAP. Your infraction should be above 50 in order to stay on Herceptin. - kim
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03-23-2006, 05:54 AM
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#3
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Senior Member
Join Date: Feb 2006
Location: Acworth, GA
Posts: 2,104
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I have not started herceptin yet -- still going through neoadjunct chemo. Did 4 rounds A/C and just had my first of 4 rounds of Taxatore. My oncologist insists on an echocardiogram every 3 months. I imagine once I have surgery and start the herceptin that she will also want MUGAs every 3 months. I would insist on a MUGA.
__________________
Kate
Stage IIIC Diagnosed Oct 25, 2005 (age 58)
ER/PR-, HER2+++, grade 3, Ploidy/DNA index: Aneuploid/1.61, S-phase: 24.2%
Neoadjunct chemo: 4 A/C; 4 Taxatore
Bilateral mastectomy June 8, 2006
14 of 26 nodes positive
Herceptin June 22, 2006 - April 20, 2007
Radiation (X35) July 24-September 11, 2006
BRCA1/BRCA2 negative
Stage IV lung mets July 13, 2007 - TCH
Single brain met - August 6, 2007 -CyberKnife
Oct 2007 - clear brain MRI and lung mets shrinking.
March 2008 lung met progression, brain still clear - begin Tykerb/Xeloda/Ixempra
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03-23-2006, 06:00 AM
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#4
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Senior Member
Join Date: Sep 2005
Location: Mountains of Virginia
Posts: 2,267
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muga or echo
Rhonda,
You should be having muga or echo every three months. I had baseline echo before A/C then have had them every three months since while on herceptin.
Sassy
________
Glass pipe pictures
Last edited by sassy; 08-22-2011 at 08:44 AM..
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03-23-2006, 10:16 AM
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#5
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Senior Member
Join Date: Oct 2005
Posts: 823
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Rhonda.
I have just started cardio Training at the Health Club, I do the bike, treadmill, and couple other things.
I have a Heart Rate Monitor on at all times. When I start it's about 72-75, after getting going on the machines the highest I have gotten was 120. My Onc told me not to let my Heart Rate get over that rate at this time.
If I see it climbing I slow to a lower pace and keep on working out. I am doing this to strengthn my heart due to being on Herceptin. I have a Personal Trainer who is keeps a close on me.
I also take 300mg of COQ10 daily. I also have Echo's every 3 months and so far I have been good. I hope my next Echo will show improvement since starting my training.
Not sure if that is what you were asking about, Heart Rate and Exercise?
Vicki
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03-23-2006, 04:59 PM
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#6
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Senior Member
Join Date: Sep 2005
Location: Los Angeles
Posts: 430
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Hi Rhonda,
My onc makes me take a mugga every three months. He wanted to keep a numerical tab on my heart. the cardiologist said an ecco was enough but the onc disagreed strongly with him. I'm gettin another one on Monday, my third one. Will take herceptin till end of year
Luv
MCS ( maria)
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03-24-2006, 09:18 AM
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#7
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Guest
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Rhonda,
I believe many docs follow the guidelines for echo monitioring schedule from that used in the HERA and NCI clinical adjuvant Herceptin trials. You can check the exact requirements of the Hera trial by checking with the NEJM. I believe that echos were done prior to therapy, three months out, six months out and then thereafter I don't recall the schedule.
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03-24-2006, 09:50 PM
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#8
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Senior Member
Join Date: Dec 2005
Location: Alexandria, VA
Posts: 1,055
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Hi, i guess you should push for the once every 3 month MUGA. That's what I've been having as well. Not a doc but it's odd your heart rate would go down mid workout. What I'm finding is the level of exercise that produced a heart rate of 135 before chemo is now producing a heart rate of 150. I just chalked it up to getting out of shape from playing hookie from the gym during chemo. Good Luck. BB
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03-24-2006, 10:54 PM
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#9
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Senior Member
Join Date: Nov 2004
Location: Henderson, NE
Posts: 413
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my resting heart rate is usually in the 100's! Heart rate really has nothing to do with heart function. The muga's check heart function. I don't think my heart rate has ever been in the 80's!
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