Document Detail


Reversible cardiomyopathy caused by administration of interferon alpha.
MedLine Citation:
PMID:  16265343     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: A 56-year-old man with normal cardiac function received treatment with interferon alpha-2b for malignant melanoma. Eight months after the initiation of therapy he developed fatigue and dyspnea on exertion. Two months later, he was admitted to hospital with ORTHOPNEA, worsening dyspnea and cough. Physical examination findings were consistent with congestive heart failure. Laboratory studies were notable for hypothyroidism. Echocardiography revealed severe, global left-ventricular dysfunction. INVESTIGATIONS: Echocardiogram, electrocardiogram, serum chemistries, coronary angiography, right-heart and left-heart catheterization and endomyocardial biopsy. DIAGNOSIS: Interferon alpha-2b-induced cardiomyopathy. MANAGEMENT: Intravenous dobutamine and dopamine for cardiogenic shock and discontinuation of interferon alpha-2b.
Authors:
Aarif Y Khakoo; Marc K Halushka; J Eduardo Rame; E Rene Rodriguez; Edward K Kasper; Daniel P Judge
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Nature clinical practice. Cardiovascular medicine     Volume:  2     ISSN:  1743-4297     ISO Abbreviation:  -     Publication Date:  2005 Jan 
Date Detail:
Created Date:  2005-11-02     Completed Date:  2005-12-01     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  101226507     Medline TA:  Nat Clin Pract Cardiovasc Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  53-7     Citation Subset:  IM    
Affiliation:
Division of Cardiology, Johns Hopkins University, Baltimore, MD 21287, USA.
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MeSH Terms
Descriptor/Qualifier:
Antineoplastic Agents / adverse effects*
Cardiomyopathies / chemically induced*
Follow-Up Studies
Head and Neck Neoplasms / drug therapy,  surgery
Heart Failure / chemically induced
Humans
Interferon Alfa-2b / adverse effects*
Male
Melanoma / drug therapy,  surgery
Middle Aged
Myocarditis / chemically induced
Skin Neoplasms / drug therapy,  surgery
Ventricular Dysfunction, Left / chemically induced
Chemical
Reg. No./Substance:
0/Antineoplastic Agents; 99210-65-8/Interferon Alfa-2b

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


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