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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Serious Is Chemo-heart Along With Non-Hodgkin's Lymphoma?

I had Non-Hodgkin's Lymohoma last year. After staying extremely tired, an echo was done. I received the news today that I have chemo-heart. Apparently my heart is pumping at 40 percent. I will see a cardiologist in four days. Can you explain to me just how dangerous this is? Are there certain questions I need to ask the cardiologist? Is this reversible?
Mon, 23 Dec 2013
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Emergency Medicine Specialist 's  Response
We measure the heart's function by an index called 'Ejection Fraction'(EF). A normal heart has an EF of 50-60. Chemotherapy drugs esp. Doxorubicin have effect on heart muscles. Unfortunately these effects are permanent and irreversible. Your condition is dangerous as your EF has fallen below 35%.You need to stop your current chemo drugs and switch to alternate drugs. When you see your cardiologist you need to ask him about getting on heart failure drugs and a test called nuclear scintigraphy. You need to get an ECHO done for EF calculation. Ask about diet modification esp salt and water intake
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How Serious Is Chemo-heart Along With Non-Hodgkin's Lymphoma?

We measure the heart s function by an index called Ejection Fraction (EF). A normal heart has an EF of 50-60. Chemotherapy drugs esp. Doxorubicin have effect on heart muscles. Unfortunately these effects are permanent and irreversible. Your condition is dangerous as your EF has fallen below 35%.You need to stop your current chemo drugs and switch to alternate drugs. When you see your cardiologist you need to ask him about getting on heart failure drugs and a test called nuclear scintigraphy. You need to get an ECHO done for EF calculation. Ask about diet modification esp salt and water intake