Doxorubicin cardiomyopathy – case report and review of histopathologic findings (RCD code: III‐1B.5a)

Apply

Doxorubicin cardiomyopathy – case report and review of histopathologic findings (RCD code: III‐1B.5a)

Journal Title: Journal of Rare Cardiovascular Diseases - Year 2017, Vol 3, Issue 5

Abstract

The anthracycline anticancer drug Doxorubicin (Adriamycin) is an effective and frequently used chemotherapeutic agent for various malignancies. The use of doxorubicin is limited by its major adverse effect, cardiotoxicity. Doxorubicin cardiomyopathy, once developed, carries a poor prognosis with a mortality rate of over 50%. Although invasive, histopathologic analysis of myocardial tissue remains the most sensitive and specific method of diagnosing doxorubicin cardiomyopathy. Histopathologic analysis reveals not only the characteristic diagnostic features of the disease but also aids in grading the severity of doxorubicin cardiomyopathy, which guides further therapy. We report the autopsy findings of a 31-year-old man with a history of T-cell Acute Lymphoblastic Leukemia (ALL) who died of severe doxorubicin induced dilated cardiomyopathy after he was given multiple rounds of hyperfractionated Cyclophosphamide, Vincristine, Adriamycin (doxorubicin) and Dexamethasone (hyper-CVAD) over a period of six years. JRCD 2017; 3 (5): 176–179

Authors and Affiliations

Hamza Tariq, Urooj Zahra

Keywords

Doxorubicin Adriamycin cardiomyopathy leukemia rare disease

Exercise ECG unmasked Brugada sign: manifestation of the risk of sports‑associated sudden cardiac arrest (RCD code: V‑1A.1)

Sports‑associated sudden cardiac arrest (SCA) constitutes an important problem. Causes of SCA during sport activities include Brugada syndrome (BrS) among others. We describe a 29‑year‑old male, without a history of card...

EP ID EP254928
DOI 10.20418/jrcd.vol3no5.301
Views 86
Downloads 0