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第二代酪氨酸激酶抑制剂达沙替尼联合氟康唑诱发心脏骤停和尖端扭转型室速1例报告

A case report of sudden cardiac arrest and torsade de pointes induced by the second-generation tyrosine kinase inhibitor dasatinib combined with fluconazole.

作者信息

Yuan Yuting, Wang Chunjian, Yao Hongying

机构信息

Department of Cardiology, Peking University International Hospital, Beijing, China.

Department of Hematology, Peking University International Hospital, Beijing, China.

出版信息

Front Cardiovasc Med. 2023 Feb 15;10:984572. doi: 10.3389/fcvm.2023.984572. eCollection 2023.

Abstract

A-41-year-old man diagnosed with acute myeloid leukemia (AML) survived dasatinib + fluconazole drug-induced long QT syndrome, sudden cardiac arrest, and torsade de pointes. Drug features and interaction jointly contributed to the whole process. Therefore, appropriate attention to drug interaction and close ECG monitoring are highly recommended for hospitalized patients, especially for those undergoing multi-drug regimens.

摘要

一名41岁被诊断为急性髓系白血病(AML)的男性患者,在达沙替尼+氟康唑药物引起的长QT综合征、心脏骤停和尖端扭转型室速中存活下来。药物特性和相互作用共同促成了整个过程。因此,强烈建议住院患者,尤其是接受多药治疗方案的患者,要适当关注药物相互作用并密切进行心电图监测。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f1c/9975254/d84721d4611e/fcvm-10-984572-g001.jpg

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