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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could The A-fib Be A Result Of The Cancer Treatment?

I was just told that I have a-fib. I had a normal EKG a year ago, but also had treatment for breast cancer that included doxarubacin and cytoxin, then taxol, followed by radiation. The cancer was bilateral, and I had lumpectomies. Could the a-fib be a result of the cancer treatment?
Sat, 28 Nov 2015
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Cardiologist 's  Response
Yes Treatment for cancer can cause atrial fibrillation .
Ratiation and medication for cancer chemotherapy like Duxoroubicin, Taxal and to less extent other medications are cardio toxic , such that they affect the Heart muscle causing inflammation. When this inflammation subsides there is some residual fibrosis in between the heart muscle . This fibrosis acts as substrate for rhythm disturbances , common among them is a trial fibrillation.
A 2 d echocardiography more precise Cardiac Mri is suggested to know extent of any damage to the heart . In many causes though there is no decrease in pumping of the heart ( mechanical ) , still arrythmia may happen sue to electrical disturbances.
Let me know if any clarification needed.
Regards Dr Priyank Mody
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Could The A-fib Be A Result Of The Cancer Treatment?

Yes Treatment for cancer can cause atrial fibrillation . Ratiation and medication for cancer chemotherapy like Duxoroubicin, Taxal and to less extent other medications are cardio toxic , such that they affect the Heart muscle causing inflammation. When this inflammation subsides there is some residual fibrosis in between the heart muscle . This fibrosis acts as substrate for rhythm disturbances , common among them is a trial fibrillation. A 2 d echocardiography more precise Cardiac Mri is suggested to know extent of any damage to the heart . In many causes though there is no decrease in pumping of the heart ( mechanical ) , still arrythmia may happen sue to electrical disturbances. Let me know if any clarification needed. Regards Dr Priyank Mody