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Cardiovascular toxicity – trastuzumab

• Trastuzumab is associated with cardiomyopathy

• Assesment of LVEF is indicated

• Data combination trastuzumab and radiotherapy

• NCCTG N9831 trial: No increased cardiotoxicity with concurrent

treatment

• Late effects are not known (FU 3.7 years)

• Concurrent trastuzumab with radiotherapy (with modern techniques,

cardiac sparing) may be continued

Perez, JCO 2011

19-9-2017