Which chemo drugs cause heart damage?

Chemotherapy drugs that can cause heart damage include:
  • anthracycline drugs such as doxorubicin (Adriamycin), daunorubicin (Cerubidine, daunomycin) and epirubicin (Pharmorubicin)
  • cisplatin.
  • carboplatin (Paraplatin, Paraplatin AQ)
  • paclitaxel (Taxol)
  • cyclophosphamide (Procytox)


What is the most common chemotherapy drug to cause significant cardiotoxicity?

Cytostatic antibiotics of the anthracycline class are the best known of the chemotherapeutic agents that cause cardiotoxicity. Alkylating agents such as cyclophosphamide, ifosfamide, cisplatin, carmustine, busulfan, chlormethine and mitomycin have also been associated with cardiotoxicity.

Is heart damage from chemo reversible?

Cardiotoxicity may be reversible. Research has shown that cardiotoxicity that arises after using trastuzumab may be reversible. Cardiotoxicity that arises from anthracycline use is often not reversible and requires long-term treatment.


How often does chemo damage the heart?

Heart damage (cardiotoxicity) from chemotherapy or radiation therapy is common. And between 5 percent and 15 percent of cancer patients will develop full-blown heart failure after surviving cancer.

Which chemotherapy drug has heart failure as a serious toxicity?

The chemotherapy drug doxorubicin is used to treat many types of cancer, but some patients who receive the drug develop heart problems.


The Connection Between Chemotherapy & Heart Damage



What is the most toxic chemotherapy regimen?

Direct pairwise meta-analysis results also revealed that the gemcitabine + carboplatin chemotherapy regimen was the most toxic regimen in hematologic for AOC patients among 8 chemotherapy regimens. Specifically, anemia, febrile neutropenia, and thrombocytopenia had larger OR and 95%CI.

How can I protect my heart during chemo?

During treatment, eat healthy. Go for a well-balanced diet of fruits, vegetables, some carbohydrates, and protein-rich foods like meat, fish and poultry. Avoid foods with too much salt, added sugar, and saturated fats or trans fats. Eating a balanced, low-cholesterol diet can also help prevent heart disease.

Can chemo cause heart problems years later?

Some cancer treatments can injure the heart muscle and blood vessels, increasing the risk of developing heart disease in the days, weeks, months, or years following cancer treatment.


What are 4 signs of cardiomyopathy?

Symptoms
  • Breathlessness with activity or even at rest.
  • Swelling of the legs, ankles and feet.
  • Bloating of the abdomen due to fluid buildup.
  • Cough while lying down.
  • Difficulty lying flat to sleep.
  • Fatigue.
  • Heartbeats that feel rapid, pounding or fluttering.
  • Chest discomfort or pressure.


Can chemo cause sudden death?

Lots of people may be worried about the side effects of chemotherapy. In fact, chemotherapy doesn't cause death but it causes side effects on the patients who got an infection because of the low level of white blood cell count.

How do you know if chemo has damaged your heart?

Blood tests can detect certain signs of heart damage. An angiogram takes a picture of your blood vessels. First, you will receive a dye, injected into the artery. Then, the doctor examines the artery with a special x-ray device called a fluoroscope.


Does your body ever fully recover from chemotherapy?

A return to normalcy is typical, but it takes a while – usually six months or so. “All who have done chemo do finally get back to normal,” Patricia said. “Treatment for breast cancer can take a whole year, but six months after it ends, life comes back – incisions heal, hair grows back, chemo brain fog lifts.”

Does Taxol damage the heart?

Paclitaxel-induced cardiotoxicity occurs either indirectly following a massive histamine release with subsequent conduction disturbances and arrhythmia, or through direct myocardial damage via an effect on subcellular organelles, which may induce congestive heart failure (CHF) [9, 10].

What is the most serious complication of chemotherapy?

Infections. Chemotherapy can reduce your body's ability to fight infection. This makes you more likely to get infections that could make you seriously ill.


What cytotoxic drugs may produce heart failure?

Many chemotherapeutic agents and particularly trastuzumab, bevacizumab, lapatinib, and sunitinib cause type 2 chemotherapy-induced cardiac toxicity.

Which antineoplastic drug has a very high cardiac toxicity?

Bevacizumab can induce hypertension and cardiac dysfunction in 1–3% patients undergoing chemotherapy (Miller et al., 2005).

What are the first signs of a weak heart?

Heart failure signs and symptoms may include:
  • Shortness of breath with activity or when lying down.
  • Fatigue and weakness.
  • Swelling in the legs, ankles and feet.
  • Rapid or irregular heartbeat.
  • Reduced ability to exercise.
  • Persistent cough or wheezing with white or pink blood-tinged mucus.
  • Swelling of the belly area (abdomen)


Does cardiomyopathy show up on EKG?

Electrocardiogram (EKG or ECG): An EKG records the heart's electrical activity, showing how fast the heart is beating and whether its rhythm is steady or irregular. An EKG can detect cardiomyopathy as well as other problems, including heart attacks, arrhythmias (abnormal heartbeats) and heart failure.

What 3 things can you do to avoid cardiomyopathy?

Avoiding alcohol and illegal drugs. Getting enough sleep and rest. Reducing stress. Treating underlying conditions, such as diabetes and high blood pressure.

Is chemo hard on your heart?

Yes, some conventional chemotherapy drugs used to treat cancer can increase your risk of heart problems. Heart problems can also happen with newer targeted therapy drugs and with radiation therapy.


How long does chemotherapy shorten your life?

During the 3 decades, the proportion of survivors treated with chemotherapy alone increased from 18% in 1970-1979 to 54% in 1990-1999, and the life expectancy gap in this chemotherapy-alone group decreased from 11.0 years (95% UI, 9.0-13.1 years) to 6.0 years (95% UI, 4.5-7.6 years).

What cancers affect the heart?

Cancers that may affect the heart include lung cancer, breast cancer, esophageal cancer, kidney cancer, leukemia, lymphoma and melanoma, among others.

Why do they check your heart before chemo?

Some chemotherapy drugs can affect the muscles of the heart. This could change the rhythm of your heartbeat. In most people, this will go back to normal after you finish the chemotherapy. If you're going to have one of these drugs, you need to have your heart checked before you start treatment.


What should chemo patients avoid?

A person undergoing chemotherapy should avoid eating undercooked or raw food, interacting with actively infectious people, overexerting themselves, and consuming too much alcohol. There are also things that a person can do to minimize risks during chemotherapy.

Does doxorubicin always damage the heart?

Doxorubicin May Cause Heart Damage

It is well recognized that doxorubicin may cause damage to the heart in some individuals. While other anthracyclines (like epirubicin and mitoxantrone) may also cause heart damage, the chances are more common with doxorubicin.