Teixeira da Silva Francisco, Morais Passos Rita, Esteves Alexandra, Carvalho José, Ferreira Manuel
Internal Medicine, Unidade Local de Saúde do Alto Minho (ULSAM), Viana do Castelo, PRT.
Critical Care Medicine, Unidade Local de Saúde do Alto Minho (ULSAM), Viana do Castelo, PRT.
Cureus. 2020 Oct 19;12(10):e11038. doi: 10.7759/cureus.11038.
Cardiotoxicity is a relevant side effect of cancer therapy that leads to increased patient morbidity and mortality. It is fundamental to understand and remember it as a cause of disease since accurate and timely diagnosis is crucial. We present the case of a patient who developed chemotherapy-associated cardiac dysfunction after receiving treatment for a diffuse large B-cell lymphoma. Clinical history, echocardiography, and differential diagnosis led us to attribute her condition to heart failure (HF) due to early doxorubicin-induced cardiomyopathy. The patient outcome was favorable. We discuss the pathogenesis and incidence of anthracycline-induced cardiotoxicity as well as strategies for its detection, prevention, and treatment.
心脏毒性是癌症治疗的一种相关副作用,会导致患者发病率和死亡率增加。由于准确及时的诊断至关重要,因此将其作为一种疾病病因来理解和牢记是很重要的。我们报告了一例弥漫性大B细胞淋巴瘤患者在接受治疗后发生化疗相关心脏功能障碍的病例。临床病史、超声心动图和鉴别诊断使我们将她的病情归因于早期阿霉素诱导的心肌病导致的心力衰竭(HF)。患者预后良好。我们讨论了蒽环类药物诱导的心脏毒性的发病机制和发生率,以及其检测、预防和治疗策略。