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Levosimendan treatment as a „bridge therapy“ in a patient with metastatic testicular cancer and severe systolic heart failure - competition case report


Authors: MUDr. Marie Pavlušová 1,2;  MUDr. Roman Miklík, Ph.D. 1,3;  prof. MUDr. Jindřich Špinar, CSc.;  Fesc 1,2,3;  MUDr. Šárka Bohatá, Ph.D. 4;  MUDr. Mgr. Et Jiří Pařenica, Ph.D. 1,2,3
Authors‘ workplace: Interní kardiologická klinika FN Brno 1;  LF MU v Brně 2;  Mezinárodní centrum klinického výzkumu FN u sv. Anny v Brně 3;  Radiologická klinika FN Brno 4
Published in: Kardiol Rev Int Med 2013, 15(4): 240-246
Category:

Overview

We report a case of a young male with non-ischemic cardiomyopathy who was admitted to our clinic with severe systolic heart failure. Etiology was unclear, ischemic heart disease was not confirmed. Subsequently, hemoptysis occurred and examinations revealed a disseminated tumor of testicular origin. During the course of cancer treatment, as well as during the current remission of the tumor, the patient requires rehospitalization for decompensation of heart failure, managed with levosimendan. According to hemodynamic and laboratory para­meters this treatment is highly efficient, quickly helps to stabilize the patient and increases his chances of being placed on the waiting list for heart transplantation, as soon as the complete remission of the tumor has prevailed for five years. A possible association of the tumor and rapid onset of heart failure is also discussed.

Keywords:
heart failure – levosimendan – hemodynamics – testicular cancer


Sources

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Labels
Paediatric cardiology Internal medicine Cardiac surgery Cardiology
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