6533b835fe1ef96bd129ffc2

RESEARCH PRODUCT

Fatal heart failure induced by pazopanib in a sarcoma patient previously treated with gemcitabine

Giuseppe BadalamentiGiulia SantanelliMonica LunettaAntonio RussoTommaso GuarinoClarissa FilorizzoDaniela Di LisiGiuseppina NovoGirolamo Manno

subject

Oncologymedicine.medical_specialtyCardiomyopathyCase ReportHeart failure030204 cardiovascular system & hematologyPazopanib03 medical and health sciences0302 clinical medicineInternal medicineMedicineIn patient030212 general & internal medicineCardiotoxicitybusiness.industryPazopanibmedicine.diseaseGemcitabineGemcitabineCardiotoxicityCardio-oncologyHeart failureSarcomaCardiology and Cardiovascular MedicinebusinessPreviously treatedmedicine.drug

description

Gemcitabine is commonly used for various solid organ malignancies with rarely reported cardiac side effects such as cardiomyopathy. Pazopanib usually can cause arterial hypertension but cases of heart failure have recently been re-ported. We describe a case of fatal heart failure after treatment with gemcitabine and pazopanib in a 55-year-old female with sarcoma. Patient developed left ventricular dysfunction after gemcitabine treatment and acute heart failure after 22 days of pazopanib treatment which led to death. Physicians should be aware of the cardiotoxicity risk when managing the use of pazopanib especially in patients previously treated with other cardiotoxic drugs.

10.37616/2212-5043.1125http://hdl.handle.net/10447/439072