Hello Avis,

  I have been noticing this worry about heart and echocardiograms in
all your posts.  Well, recently, Dr. Cortes and Dr. Kantarjian had a
teleconference for CML patients (did you listen to it? The details on
how to register was posted on this list).  Dr. Kantarjian specifically
said that they are not doing echocardiograms regularly for CML patients
and do not even recommend a baseline echo.  He said they looked back
over their records and out of 1300 patients on Gleevec, only 5 had
congestive heart failure.  So, the incidence is extremely rare.
Moreover, Dr. Cortes echoed this and one CML patient specifically asked
two times whether she had heard right, no echo baseline and yes, said
Dr. Cortes, no echo as baseline.  Just giving you some feedback on what
two CML experts from MDACC had to say on heart issues with Gleevec and
in the hope that you and Dona will be reassured.

  However, the doctors both said that those with cardiac issues like
diabetes, hypertension and heart disease, need to have a baseline
echocardiogram and be monitored.  I do not understand why you say
Dona's blood counts dropped, the LDH is high, not low.  Hope you and
Dona find a solution with her CML expert doctor.

  Since our doctor has not said one way or another whether to do an
echo for my hubby, he has been on Gleevec for 4.5 years, I will
feedback Drs. Cortes and Kantarjian's views to our doctor.  I was glad
to see doctors giving a number to the incidence of heart problems on
Gleevec, it seems the MDACC experience is a 0.4% incidence of CHF with
Gleevec patients which is below the normal incidence in the healthy
population.  I was certainly reassured.  Hope you and Dona are, too.

Anjana
caregiver to Roy
d/x Jan 2002
400mg Gleevec, March 2002
CCR, Sep 2002


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