Dear Dianne and Group,  

Almost two years ago I had episodes of heart
failure, but last years a was retested and I
showed no signs of it.  I am thinking it was the
Gleevec...possibly congestion from the drug.  I
am happy that I have "out-grown it".

Dee Hedman
diagnosed July 2002


--- anjana <[EMAIL PROTECTED]> wrote:

> 
> Dear Dianne,
> 
>   Gleevec is not so much associated with heart
> problems.  The sites
> below list low and high blood pressure as rare
> side-effects of Gleevec
> and tachycardia which is rapid heart rhythm. 
> There are some examples
> of fluid in the pericardial sac from Gleevec
> fluid retention.  But I
> did not come across anything with heart valve
> problems and Gleevec.
> There was an article of one case of cardiac
> tamponade from the fluid
> around the heart.  And below is the most recent
> one from Korea. I
> searched Pubmed.
> 
>   Dasatinib in preclinical studies has been
> associated with long Q-T
> intervals and that is why they do EKGs on the
> trial.  Dasatinib and
> AMN107 are more associated with heart issues.
> 
>
http://www.bccancer.bc.ca/HPI/DrugDatabase/DrugIndexPro/Imatinib.htm
> 
>
www.cancercare.on.ca/pdfdrugs/Imatinib-Mesylate.pdf
> 
>
http://www.americanheart.org/presenter.jhtml?identifier=4637
> 
> I am giving the abstract below.  It is only 2
> patients who had problems
> so I would say heart problems with Gleevec is
> rare.  Still, you can
> show the abstract to the cardio.
> 
> Hope everything will be well, Dianne.
> 
> Love,
> Anjana
> 
> Cancer Lett. 2005 Dec 30; [Epub ahead of print]
> Related Articles, Links
> 
> 
> 
> BNP as a marker of the heart failure in the
> treatment of imatinib
> mesylate.
> 
> Park YH, Park HJ, Kim BS, Ha E, Jung KH, Yoon
> SH, Yim SV, Chung JH.
> 
> Department of Medical Oncology, Korea Institute
> of Radiological and
> Medical Sciences, Seoul 130-706, South Korea.
> 
> Since its introduction 6 years ago, imatinib
> mesylate, a selective
> tyrosine kinase inhibitor, has been a
> phenomenon in treating chronic
> myelogenous leukemia (CML) with remarkably
> superior cytogenetic and
> molecular response rates at all stages of CML
> followed by longer
> progression free survival. Despite its
> extraordinarily high efficacy,
> adverse effects of imatinib mesylate such as
> edema, liver toxicity and
> fluid retention syndromes have been reported.
> Here we, for the first
> time, report development of heart failure in
> patients on imatinib
> mesylate medication and the possibility of
> brain natriuretic peptide
> (BNP) as a potential diagnostic (or predicting)
> marker for heart
> failure. Since plasma BNP levels in the two
> patients were exceptionally
> high, we then explored the possibility of
> genetic association of BNP
> with the development of heart failure to find
> no positive association.
> 
> 
>
> 
> 


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