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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Heart Attack

My wife who is 54 had a moderate heart attack - 100 per cent blockage in the lower right of her heart. Heart attack happened 48 hours after having breast surgery for cancer. How will chemo affect the decision for the breast cancer after having the stint place in her. She is HER2 +3 and neg. on both hormones receptors.
Tue, 20 Sep 2016
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General & Family Physician 's  Response
Hello,

Thanks for writing to Health Care magic, I am Dr , Muhammad Ahmad , I have read your question closely, I understand your concern and will be helping you with your health related problem.

Right artery usually causes less dangers as compared to the left one and if stent has been placed then most probably your wife is safe as far as cardiology point of view is concerned.

Regarding chemotherapy, there are certain drugs which are more cardiotoxic and they can affect the heart negatively specially immediately after a heart attack but usually they can be continued after heart has recovered (usually in 6-8 weeks of heart attack) , other safe chemo therapy drugs can be started earlier.

In my opinion you wife will be able to take her chemo without any problems doctor will just keep monitoring her heart which is usually done with the help of echocardiography , and if that stays fine , she will be able to complete the course without any problems. In a nut shell i would say that moderate cardiac even doesn't affect decision of chemo in a patient.



I hope this answered your question, If you have more queries I am happy to answer you.
Regards.

Dr.Muhammad Ahmad
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Suggest Treatment For Heart Attack

Hello, Thanks for writing to Health Care magic, I am Dr , Muhammad Ahmad , I have read your question closely, I understand your concern and will be helping you with your health related problem. Right artery usually causes less dangers as compared to the left one and if stent has been placed then most probably your wife is safe as far as cardiology point of view is concerned. Regarding chemotherapy, there are certain drugs which are more cardiotoxic and they can affect the heart negatively specially immediately after a heart attack but usually they can be continued after heart has recovered (usually in 6-8 weeks of heart attack) , other safe chemo therapy drugs can be started earlier. In my opinion you wife will be able to take her chemo without any problems doctor will just keep monitoring her heart which is usually done with the help of echocardiography , and if that stays fine , she will be able to complete the course without any problems. In a nut shell i would say that moderate cardiac even doesn t affect decision of chemo in a patient. I hope this answered your question, If you have more queries I am happy to answer you. Regards. Dr.Muhammad Ahmad