The problem with not getting a MUGA every 4 months is that not all heart damage has physical symptoms to alert you that there is damage happening. My heart was fine for about 6 months then the function fell by about 25%. I felt absolutly no different from one MUGA where I was fine to the next when significant heart damage had occured. It was very dissapointing to me because I could no longer remain in the clinical trial I was participating in (AND they took my Herceptin away from me!!!) The good news is that my heart repaired itself in about 2 months and was back to normal. So, it really is important to have your heart monitored just to be on the safe side. Take Care, Linda
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