Severe left atrial enlargement due to carfilzomib use in multiple myeloma

Several cardiovascular effects have been attributed to carfilzomib in the recent literature. These side effects must be recognized promptly by treating physicians and pharmacists. Special attention is required in patients with pre-existing cardiac conditions, liver function abnormalities and/or adva...

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Veröffentlicht in:Journal of oncology pharmacy practice 2019-12, Vol.25 (8), p.2045-2048
Hauptverfasser: Dasanu, Constantin A, Plaxe, Steven C, Popescu, Iliana M, Gupta, Varun, Sontz, Eric, Codreanu, Ion
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container_end_page 2048
container_issue 8
container_start_page 2045
container_title Journal of oncology pharmacy practice
container_volume 25
creator Dasanu, Constantin A
Plaxe, Steven C
Popescu, Iliana M
Gupta, Varun
Sontz, Eric
Codreanu, Ion
description Several cardiovascular effects have been attributed to carfilzomib in the recent literature. These side effects must be recognized promptly by treating physicians and pharmacists. Special attention is required in patients with pre-existing cardiac conditions, liver function abnormalities and/or advanced age. This is the first report of a severe left atrial enlargement due to carfilzomib use in the setting of multiple myeloma. This condition improved dramatically seven months after cessation of carfilzomib. The authors discuss further various cardiac and vascular abnormalities linked with carfilzomib in the medical literature. Prompt withdrawal of this agent is essential in these cases as it may prevent dismal outcomes.
doi_str_mv 10.1177/1078155218825298
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source MEDLINE; SAGE Complete A-Z List
subjects Aged
Cardiotoxicity - etiology
Enlargement
Heart
Heart Atria - drug effects
Heart Atria - pathology
Humans
Inhibitor drugs
Male
Multiple myeloma
Multiple Myeloma - drug therapy
Oligopeptides - administration & dosage
Oligopeptides - adverse effects
Targeted cancer therapy
title Severe left atrial enlargement due to carfilzomib use in multiple myeloma
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