Tachycardia /heart palpitations and chemo?

Hi there

I've been in hospital for several days suffering bouts of tachycardia, particularly at night where I can wake up to a BPM of 180 for no reason. They have done an echo, about 20 ECGs, bloods,and chest x-ray. All these have come back clear of issues (thankfully!) But means they still don't know what's causing this problem. 

I'm now being sent home as it might be a side effect that my body is having against the chemotherapy. 

Whilst I know I can't stay in the hospital forever, and I do want to get home, I can't help thinking it's silly to leave the place that can help if things get bad.

Has anyone else experienced/ing tachycardia with their chemo at all? I seem to have a resting rate of about 115 at the moment when it's usually 68.

Thanks in advance for any advice or insight

 

  • Warriorwilko,

    I'm so glad I found your post because I thought I was going mad!! I've had my 4th and 5th round of Docetaxel and after both sessions ( roughly around 6 days after ) I've experienced the worst palpitations and felt that my heart would explode through my chest. 
    I spoke to my oncologist about it after the last round and  he didn't seem too concerned but there's nothing like hearing about someone who's having/had the exact same treatment and side effects so thank you!!! 
    Hope you're doing well and sending big virtual hugs. 

  • So glad I found your post. I had my first chemo on Monday and four days later my heart rate was running at 100 all the time. I take beta blockers anyway and increased the dose which keeps the heart rate in the 80s for a while, before is creeps up to about 100 again.  I have coronary heart disease and it's been very frightening.  Desperate to stay away from A&E as they tried to give me completely the wrong treatment for vomiting earlier in the week.  I was hoping the heart rate would improve but 4 days on it's still racing and the moment I try to do anything it's up at 120 or more, which is near my maximum heart rate (I'm 72 years old). 
    from first diagnosis things have gone wrong - I was given wrong results and inappropriate treatment, leading to delays in surgery and think I was given the wrong dose of cyclophosphamide so was very ill for 2-3 days post chemo.  At present I'm seriously considering refusing further chemo because of all the problems I've had and because I'm seriously allergic to several antibiotics 

  • Hi everyone, 

     

    Just thought I'd update everyone. I finished cancer treatment in January and I am still on beta blockers and still have tachycardia. I have been referred back to cardiologist but due to Covid delays don't know how long that will be to get an appointment as I am not an urgent case now as the beta blockers are managing the situation. I was just wondering if anyone has got any further with investigations on whether the chemotherapy has caused this tachycardia? The oncologist seems reluctant to say it has, he told me it's not a known side effect but I mentioned I'd been on this post and other people have experienced the same. I am getting very frustrated with this situation. I was a fit and healthy (apart from cancer) size 8 exercise 5 times a week and very fit female who now can not exercise without risking a heart attack. It's so strange as I don't have any sign of damage to the heart so no one is taking this matter seriously. 
     

    it would be good to hear from anyone to see where you all are with this issue. 
     

    Thanks 

  • Hi,

    I was told that tachycardia was a rare side effect of cyclophosphamide.  Mine was eventually largely controlled on 3.75mg bisopralol a day.  However, just over 2 weeks later I collapsed with multiple bilateral pulmonary emboli and it now seems that the increase in heart rate started when a large clot was forming in my inferior vena cava.  

    My treatment was a bit of a disaster.  Day after first chemo I was vomiting and needed anti-emetic injection, but despite ringing chemo unit was unable to get this arranged and finished up in A&E about 6 hrs after the vomiting became serious.  It still took ages to get the anti-emetic injection (the nurse decided I was a chemo patient and must need antibiotics) and I became very dehydrated and needed admission and IV fluids, just at the time I really needed to be drinking loads and staying hydrated.  

    My heart rate started going up about 24 hrs later and it now seems likely that I was developing a clot in my inferior vana cava, so the blood flow back to my heart was reduced, and the heart rate increased to compensate.  At the time no-one seemed very bothered about the high heart rate - had thay been the clot might have been diagnosed earlier instead of sitting growing bigger until it finally broke off and nearly killed me.

    I'm now recovering, 4 weeks post PE, but am on injections of anticoagulants and still short of breath.  I've declined furhter chemo as it seems likely to kill me quicker than the breast cancer!

    I do wonder if more notice needs to be taken of tachycardia in chemo patients as no-one seemed very interested or worried about mine.  I did have an echocardiogram done which showed normal cardiac funtion - but at that point the clot was still sitting in my abdomen so the echo would';t show anything.  

    I was a farily fit, slightly overweight, 72 year old, who walked about 3 miles a day with my dog and now can only manage about half a mile at a time, although I'm told this will improve as the clots disperse.  

  • Just wondering if this thread is still live as having completed a course of chemotherapy I am now suffering from surges in my heart rate whenever I try to do anything and also wake at night with them.  I also have neuropathy in the ends of my fingers and toes.  Much like others in this thread all tests on my heart show no problems so my oncolcogy team seem unconcerned.  However I find it distressing as it severely limits my quality of life and wondered if anyone on this thread had made any further progress in discovering the cause and any permanent solution other than beta blockers.

  • Hi,

    I made the original post.  Really sorry to hear that you're going through this.  

    After I'd posted, I had a massive pulmonary embolus, and suspect that in my case the high heart rate was the result of a big clot forming.  I have had a conversation with a good cardiologist who said tachycardia post chemo wasn't uncommon and usually settled in a few months.  I had my chemo in July and my heart rate took about 3 months to settle down afterwards.  It is frustrating when the chemo teams don't seem to grasp how worrying and debilitiating it is when you can feel your heart racing, and the cardiology people don't seem to have an answer either.  

    I only had one course of chemo (as that nearly killed me I decided to take my chance with the cancer!) but had neuropathy which lasted several weeks.  I do hope that yours clears up soon and that your heart rate comes down.  

    Good luck!

    Cathry72

  • I'm glad I stumbled upon this thread, as I'm having similar elevated heart rate issues.

    My poison: Docetaxel
    Sessions: 2/6

     

    I was over half way through my second chemo session when I decided to have lunch. 5 minutes later, a medic noticed my bright red face and found my heart rate was above 100bpm.


    She cut the chemo feed and gave me something which had my heart rate back to normal within 20-30minutes. All the while I felt absolutely fine, and rather resented having to interrupt my lunch 'break'.

     

    For some time I have been taking & recording heart related readings, but since this incident I've taken a closer look at my heart rate at times during the day when I've felt tired or when I get a sudden hot flush.

     

    My resting heart rate first thing in the morning (i.e. sitting up in bed drinking tea) seems normal, typically: 60-70bpm.

     

    My resting heart rate during the day is typically in the 90s. When out walking it could be as high as 130bpm, at which point I feel tired and like to sit down.

     

    Although I can't check my blood pressure when out walking, my high heart rate does not seem to coincide with an increase in blood pressure. Diastolic, systolic and pulse pressure (the difference between dia & sys) all seem pretty normal. As yet I haven't experienced that 'pounding heart' sensation that I believe some of you are getting.

     

    There doesn't seem to be a correlation between my hot flushes and my elevated heart rate.

    Just before each chemo session I take a big dose of Dexamethasone, and after I'm on Domperidone & Omeprazole for about 3 days. Then there are those 5 injections (can't remember the name) and on top of all this, I'm also on Zoladex for at least the next 2 years.

     

    With so many medications flowing through my body, its anyones guess what the side effects might be. Although Docetaxel is mentioned several times in the posts above, there are at least 2 other chemo treatments mentioned.

  • Thankyou for your reply.  I spoke with my oncologist yesterday and he is going to try and refer me to a cardiologist. Hope you are OK now. 

  • Hi All

    I seem to be suffering from the same problem, im on a fairly intense Chemo regime and have noticed my heart rate has risen sharply, from around average 67 to about average 95, i have had a heart scan and number of other tests and there appears to be no heart problem but the constant high rate does affect me, even climbing the stairs puts it around 130. My oncologist isnt too concerned meantime as its a strong regular heart beat. However i can affect my ability to sleep and i some time feel palpatations.

    It appears to be yet another side affect of Chemo

    Im on chemo regime CBOP BEP,

     

    John

  • JohnRM, sorry to hear about your elevated heart rate, but as you will see from an earler post, I had a very similar problem.

    Its now 7 months since my final (6th) chemo session, and 3 months from my last (37th) radiothepary session. My 'resting heart rate' has not returned to pre-chemo levels (was typically 55-65bpm) and is now high 70s (typically 75-80bpm). When I climb two flights of stairs in our house, the rate typically rises to 100-110bpm (previously it would have been around 130bpm).

    So it looks like you may need to be patient and hang on in there!

    I'm also still suffering with swollen feet/ankles but not nearly as bad as it was. This is also a chemo related cardio-vascular problem,

    You may be interested in my notes: captainbodgit.blogspot.com/.../cancer

    Good luck!