Document Detail


Acute cardiac toxicity of antineoplastic agents as the first manifestation of pheochromocytoma.
MedLine Citation:
PMID:  361218     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 47-year-old male with histiocytic lymphoma and no previous history of heart disease developed significant fluctuations of blood pressure, electrocardiographic evidence of myocardial ischemia, and life-threatening arrhythmia after the first dose of BACOP (bleomycin, adriamycin, cyclophosphamide, Oncovin, and prednisone) chemotherapy. The presence of pheochromocytoma was suspected, and it was demonstrated by elevated urinary metanephrines, catecholamines, and vanillylmandelic acid, and finally confirmed on autopsy. The possible role of chemotherapeutic agents in stimulating excessive catecholamine release, thus causing transient cardiac injury, is suggested.
Authors:
D N DeAsis; M K Ali; A Soto; N A Samaan
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Cancer     Volume:  42     ISSN:  0008-543X     ISO Abbreviation:  Cancer     Publication Date:  1978 Oct 
Date Detail:
Created Date:  1979-01-15     Completed Date:  1979-01-15     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0374236     Medline TA:  Cancer     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  2005-8     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adrenal Gland Neoplasms / diagnosis*,  secretion
Antineoplastic Agents / adverse effects*
Arrhythmias, Cardiac / etiology*
Catecholamines / secretion
Coronary Disease / etiology*
Humans
Lymphoma, Large B-Cell, Diffuse / drug therapy*
Male
Middle Aged
Neoplasms, Multiple Primary / diagnosis*,  secretion
Pheochromocytoma / diagnosis*,  secretion
Chemical
Reg. No./Substance:
0/Antineoplastic Agents; 0/Catecholamines

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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