3 doctors weighed in:

After 2nd round r-chop, swollen ankles, rapid hr. Are these signs of heart failure? Why doesn't cardiologist order echocardiogram?

3 doctors weighed in
Dr. Jerome Zacks
Internal Medicine - Cardiology
1 doctor agrees

In brief: Valid Question.

Swollen ankles and rapid heart rate might be signs of heart failure.
They merit a careful history and physical exam as well as ekg, chest x-rays and an echocardiogram. Hypertension and valve problems are high on the list of likely causes; however, in the case of a person exposed to a cardiotoxic chemotherapy drug, one must consider this as well. The toxic drug effect is cumulative; act quickly.

In brief: Valid Question.

Swollen ankles and rapid heart rate might be signs of heart failure.
They merit a careful history and physical exam as well as ekg, chest x-rays and an echocardiogram. Hypertension and valve problems are high on the list of likely causes; however, in the case of a person exposed to a cardiotoxic chemotherapy drug, one must consider this as well. The toxic drug effect is cumulative; act quickly.
Thank
1 comment
Dr. Jerome Zacks
In this case, the major reason for the echocardiographic study is not for evaluation of a murmur...it's to look for evidence of heart failure caused by the chemotherapy drug.
Dr. Joseph Moore
Internal Medicine - Cardiology

In brief: Evaluate further

With your symptoms and history of heart disease (bypass surgery) with recent chemo treatment, your doctors should be suspicious of heart failure.
An echo would be very helpful. Your pcp should be able to order this. You can always get a second opinion.

In brief: Evaluate further

With your symptoms and history of heart disease (bypass surgery) with recent chemo treatment, your doctors should be suspicious of heart failure.
An echo would be very helpful. Your pcp should be able to order this. You can always get a second opinion.
Thank
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