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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Radiation And Chemotherapy For Breast Cancer. Diagnosed With Atrial Fibrillation. Taking Atenolol And Tikosyn. Suggestion

My wife had breast cancer approx. ten years ago and had radiation and chemotherapy. After her treatments were ending her oncologist discovered she had a very high heart rate and she was subsequently diagnosed with atrial fibrillation . Cardioversion has not been successful in restoring normal rhythm for more than a few days. Atenolol and Tykosyn were somewhat successful until recently. She had cancer in her other breast last year and underwent radiation treatments. The Tykosyn has now ceased being effective at all. What is the likelihood of the radiation having affected her heart and precipitated her atrial fibrillation?
Mon, 23 Dec 2013
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Oncologist 's  Response
it is very uncommon for radiation to precipitate atrial fibrillation especially if it on the right side. Scatter is very rare with the latest technology radiation. you havent mentioned about chemotherapy. Some chemotherapeutic agents like doxorubicin and trastuzumab can have an effect on heart but the effect is mainly on heart muscle, though rhythm disturbances can also occur. But these effects are not longlasting and she would revert back to normal with time
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Had Radiation And Chemotherapy For Breast Cancer. Diagnosed With Atrial Fibrillation. Taking Atenolol And Tikosyn. Suggestion

it is very uncommon for radiation to precipitate atrial fibrillation especially if it on the right side. Scatter is very rare with the latest technology radiation. you havent mentioned about chemotherapy. Some chemotherapeutic agents like doxorubicin and trastuzumab can have an effect on heart but the effect is mainly on heart muscle, though rhythm disturbances can also occur. But these effects are not longlasting and she would revert back to normal with time