Yang Eric H, Courtney Cynthia, Garg Vinisha, Fradley Michael G, Schiller Gary J
1UCLA Cardio-Oncology Program, Division of Cardiology, Department of Medicine UCLA Cardiovascular Center, 100 Medical Plaza, Suite 630, Los Angeles, CA 90095 USA.
2Division of Hematology and Oncology, David Geffen School of Medicine at UCLA, Los Angeles, CA USA.
Cardiooncology. 2018 Mar 1;4:2. doi: 10.1186/s40959-018-0028-z. eCollection 2018.
Carfilzomib, an epoxyketone proteasome inhibitor, has demonstrated improved progression-free survival in patients when used with standard treatment (lenalidomide and dexamethasone) in patients with relapsed multiple myeloma (MM). However, there are reports of adverse cardiac events with carfilzomib manifested by dyspnea and heart failure. A patient is presented who had recurrent, clinically mild cardiotoxicity, as manifested by recurrent heart failure with preserved ejection fraction, with ongoing maintenance carfilzomib in a patient with resistant MM is presented.