Závažné zlyhávanie srdca a arytmia po protinádorovej liečbe podávanej v detstve
Authors:
Xénia Faktorová 1; Milan Luknár 2,3; Zuzana Zelinková 1; Lucia Horniaková 4; Eva Mikušková 5; Michal Šašov 6; Mária Szántová 4; Viliam Mojto 4; Beata Mladosievičová 7
Authors‘ workplace:
Department of Internal Medicine of the Slovak Medical University, University Hospital – St. Michael’s Hospital, a. s, Bratislava
1; Department of Heart Failure and Heart Transplantation National Institute of Cardiovascular Diseases, Bratislava
2; Department of Cardiology, Faculty of Medicine, Comenius University and National Institute of Cardiovascular Diseases, Bratislava
3; Department of Oncohematology Faculty of Medicine, Comenius University and National Cancer Institute, Bratislava
5; Department of Arrhytmias and Cardiac Stimulation National Institute of Cardiovascular Diseases, Bratislava
6; Institute of Pathological Physiology, Department of Clinical Pathophysiology, Faculty of Medicine, Comenius University, Bratislava
7; rd Department of Internal Medicine, Faculty of Medicine, Comenius University and University Hospital, Bratislava
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Published in:
Vnitř Lék 2022; 68(E-1): 22-26
Category:
Case reports
Overview
Cieľom kazuistiky je popísať prípad mladého pacienta, v detstve úspešne liečeného pre non-Hodgkinov lymfóm chemoterapiou s obsahom anthracyklínu doxorubicínu s neskorším rozvojom príznakov závažného kardiovaskulárneho poškodenia 27 rokov od diagnostiky lymfómu. Pacient je dlhodobo v kompletnej remisii onkologického ochorenia. U pacienta bola započatá liečba chronického srdcového zlyhávania v súlade s najnovšími odporúčaniami vrátane implantácie kardioverter-defibrilátora, ako primárnej prevencie náhlej kardiálnej smrti. Momentálne je pacient čakateľom na transplantáciu srdca.
Klíčová slova:
srdcové zlyhávanie – antracyklíny – implantovatelný kardioverter-defibrilátor – arytmia – neskorá kardiotoxicita
Sources
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Diabetology Endocrinology Internal medicineArticle was published in
Internal Medicine
2022 Issue E-1
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