By vgreene, 6 July, 2021 if trastuzumab stopped repeat LVEF w in 3 6wk resume trastuzumab tx if LVEF normalizes to 50
By vgreene, 6 July, 2021 consider BNP or NT pro BNP and troponins monthly periodic cardiac focused PE
By vgreene, 6 July, 2021 consider initiating cardioprotective tx ACEI ARB and or BB if not already prescribed
By vgreene, 6 July, 2021 asymptomatic pts undergoing trastuzumab tx w LVEF decrease 10 from baseline or LVEF drop to 40 but
By vgreene, 6 July, 2021 if planning further anthracycline based chemotx discuss risk benefits of continued use vs non anthracycline regimen options consider use of dexrazoxane and or liposomal doxorubicin
By vgreene, 6 July, 2021 consider BNP or NT pro BNP and troponins cardiac focused PE after each anthracycline dose
