partially reversible bortezomib-induced cardiotoxicity: an unusual cause of acute cardiomyopathy

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2015
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Abstract
Chemotherapy-associated cardiotoxicity can present as a spectrum from arrhythmia to acute congestive heart failure. Unlike anthracyclines, proteasome inhibitors – for example, bortezomib – are not notorious for causing cardiotoxicity in absence of pre-existing cardiac dysfunction or without concomitant use of other cardiotoxic agents. We describe a 66-year-old woman with end-stage renal disease who developed acute dyspnea hours after a third treatment with bortezomib for IgG kappa myeloma. The Naranjo adverse drug reaction probability scale indicated a probable relationship (score of 5) between bortezomib and acute left ventricular dysfunction. Patients receiving proteasome inhibitors should be closely monitored for evidence of cardiac dysfunction during treatment.
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Authors ;Marcelle G. Meseeha;Victor O. Kolade;Maximos N. Attia
Journal Mathematical biosciences
Year 2015
DOI
10.3402/jchimp.v5.28982
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