Patients must have baseline troponin test performed for eligibility; however, no associated values must be met in order for the patient to be eligible Baseline (pre-treatment) serum troponin T (TnT) >= . ng/mL; Troponin T levels may be rechecked and therapy given if levels decrease to < . ng/mL Troponin-T value > . ng/mL or B-type natriuretic protein (BNP) > pg/mL by central laboratory assessment Subjects with baseline troponin-T > ULN or BNP > pg/mL are eligible but must have a cardiologist evaluation prior to enrollment in the trial for baseline assessment and optimization of cardioprotective therapy. Elevated Troponin levels at screening or known to have persistently elevated brain natriuretic peptide (BNP). Baseline serum troponin above the upper limit of normal Troponin-I =< ULN Cardiac troponin value above the Upper Limit of Normal (ULN); serum troponin T levels within normal limits; Patients with baseline troponin levels greater than the institutional limit of normal creatinine kinase - MB, troponin-I, and troponin-T within normal limits Troponin blood level within normal limits. Patients with a history of cardiac disease are excluded: myocardial infarction or arterial thromboembolic events within months prior to baseline, severe or unstable angina, New York Heart Association Class III or IV disease, QTCB (corrected according to Bazett's formula) interval > msec, serious uncontrolled hypertension (systolic > and/or diastolic > mm Hg); baseline electrocardiography, echocardiography and assessment of serum troponin (I) are included in the screening exams; subjects in whom these assays are abnormal (electrocardiogram [EKG] excluding st degree branch block, sinus brachycardia, sinus tachycardia or non-specific T wave changes, serum troponin >= grade ) are ineligible Patients must have albumin, urinalysis, and Troponin I obtained within days prior to sub-study registration Patients must have albumin, urinalysis, and Troponin I obtained within days prior to substudy registration Patients with a history of cardiac disease are excluded; baseline electrocardiography and assessment of serum troponin (I) are included the screening exams; subjects in whom these assays are abnormal (electrocardiogram [EKG] excluding st degree bundle branch block, sinus bradycardia, sinus tachycardia or non-specific T wave changes, serum troponin >= grade ) Cardiac Troponin I within normal limit. Serum cardiac troponin (cTn) level ? % percentile of the upper reference limit Troponin-T value > . ng/ml or BNP > pg/mL. Subjects with baseline troponin-T >Upper Limit of Normal (ULN) or B-type Natriuretic Peptide (BNP) > pg/mL are eligible but must have cardiologist evaluation prior to enrollment in the trial for baseline assessment and optimization of cardioprotective therapy. B-type Natriuretic Peptide (BNP) above times the baseline value and above the ULN that is sustained consecutive, scheduled blood draws. Troponin I above ULN, high sensitive C-reactive protein (hsCRP) above ULN or Cystatin above ULN. Cardiac troponin I or cardiac troponin T levels above the limit of normal as specified by the manufacturer. Patients with baseline troponin levels greater than the institutional limit of normal Patients with elevated troponin T and/or CK levels (> . x ULN for the laboratory) or with history of myositis, rhabdomyolysis or other myopathic disease. Recent exposure to cardiotoxic agents (including anthracyclines) within months of enrollment. Subjects with troponin-I and BNP levels above ULN are excluded. Patients with N-terminal (NT)-proB-type Natriuretic Peptide (BNP) >= ng/L or BNP >= ng/L, abnormal troponin T, cardiac muscle (cTnT) or troponin I, cardiac muscle (cTnI) can only be included after evaluation by cardiology to determine of the risk associate with the treatment; this evaluation needs to be discussed with the principal investigator (PI) Troponin T or I within normal institutional limits Troponin I or T within normal limits Troponin-T value >. ng/mL or BNP > pg/mL. Subjects with baseline troponin-T >ULN or BNP > pg/mL are eligible but must have cardiologist evaluation prior to enrollment in the trial for baseline assessment and optimization of cardioprotective therapy. Serum cardiac troponin (cTn) level ? % percentile of the upper reference limit Amyloid cardiac biomarker stage III disease, defined as both NT-proBNP ? pg/mL and troponin T ? . ng/mL. If troponin T is not available at local institution, troponin I may be used, but cut-off is ? . ng/mL Abnormal baseline Troponin-I. Cardiac troponin (cTn) levels above the upper limit of normal