A member asked:

Can cancer chemotherapy contribute to heart failure?

13 doctors weighed in across 2 answers
Dr. Devon Webster answered

Specializes in Medical Oncology

Yes: Many types of chemotherapy can damage the heart. The risk is higher if you have high blood pressure, diabetes, or pre-existing heart problems. Doxorubicin (adriamycin), Idarubicin and Cyclophosphamide (cytoxan) are chemotherapies that are particularly hard on the heart. Trastusumab (herceptin), a monoclonal antibody given for breast cancer, can also damage the heart.

Answered 6/25/2014

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Yes: Though chemotherapy may have heart toxicity, the medical oncologist may still decide to use the necessary drugs for a patient. Each cancer has chemotherapy that works best and may be necessary. However with good evaluation of the heart with a cardiologist and echocardiogram, the oncologist can temper the dose if needed. If the heart is already borderline then other drugs are used.

Answered 3/1/2019

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