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[达沙替尼引起的心脏毒性表现为肺动脉高压和慢性心力衰竭。1例病例报告]

[Pulmonary arterial hypertension and chronic heart failure as dasatinib cardiotoxicity. A case report].

作者信息

Makeeva L M, Emelina E I, Gendlin G E, Nikitin I G, Vasyuk Y A, Nesvetov V V

机构信息

Federal State Budgetary Educational Institution of Higher Education, "Pirogov Russian National Research Medical University" of the Ministry of Health of the Russian Federation.

Federal State Budgetary Educational Institution of Higher Education, "A. I. Evdokimov Moscow State University for Medicine and Dentistry" of the Ministry of Health of the Russian Federation.

出版信息

Kardiologiia. 2017 Apr;57(S4):53-60. doi: 10.18087/cardio.2428.

Abstract

Modern treatment of patients with oncohematological diseases has allowed to achieve remission or even convalescence in many cases. One of ambitious aims put forward by the hematological society is 100% survival and preservation of quality of life in patients with chronic myeloid leukemia (CML). This hope is related with the emergence of targeted therapy for CML. The second-generation tyrosine kinase inhibitor, dasatinib, which is used for treatment of CML, can occasionally induce severe pulmonary hypertension (PH). We presented here a case report of such cardiotoxicity, which was evident as PH and heart failure in a young female patient with CML treated with dasatinib. Information from published reports about this type of cardiotoxicity is provided. At present time, dasatinib is beginning to be extensively used also in other oncological diseases. For this reason, cardiologists and physicians should be aware of this cardiotoxicity, which can cause heart failure in dasatinib-treated patients.

摘要

现代对血液肿瘤疾病患者的治疗已使许多病例实现缓解甚至康复。血液学协会提出的宏伟目标之一是使慢性髓性白血病(CML)患者的生存率达到100%并维持生活质量。这种希望与CML靶向治疗的出现有关。用于治疗CML的第二代酪氨酸激酶抑制剂达沙替尼偶尔会诱发严重的肺动脉高压(PH)。我们在此报告一例此类心脏毒性病例,在一名接受达沙替尼治疗的年轻女性CML患者中表现为PH和心力衰竭。还提供了已发表报告中关于此类心脏毒性的信息。目前,达沙替尼也开始在其他肿瘤疾病中广泛使用。因此,心脏病学家和医生应意识到这种心脏毒性,它可导致接受达沙替尼治疗的患者发生心力衰竭。

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