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[Adriamycin, cardiotoxicity--a case report]

AbstractIn 1976, a 61-year-old female was diagnosed as malignant cystosarcoma phyllodes, and she was admitted to the hospital for chemotherapy. She was started receiving the combination chemotherapy consisting of adriamycin. 60 mg/3-week, mitomycin C, 1 mg/week, 5-Fluorouracil, 175 mg/week, and citosine arabinoside, 10 mg/week. The initial ECG revealed incomplete right bundle branch block pattern. After the first 60 mg administration of adriamycin, the ECG showed non-specific ST-T changes in addition to I.R.B.B.B. pattern. At the second 60 mg administration of adriamycin, the ECG returned to normal. After the administration of adriamycin, the ECG showed the same ST-T changes again which were seen at the first adriamycin treatment. The same phenomenon was observed at the third adriamycin treatment. In this case, there was a reproducible coincidence between the administration of adriamycin and the occurrence of non-specific changes on ECG; the fore a possibility of adriamycin cardiotoxicity was strongly suggested.
AuthorsK Okuma, K Ota
JournalGan to kagaku ryoho. Cancer & chemotherapy (Gan To Kagaku Ryoho) Vol. 9 Issue 5 Pg. 936-41 (May 1982) ISSN: 0385-0684 JAPAN
PMID6307186 (Publication Type: Case Reports, English Abstract, Journal Article)
Chemical References
  • Mitomycins
  • Doxorubicin
  • Mitomycin
  • Fluorouracil
Topics
  • Breast Neoplasms (drug therapy)
  • Doxorubicin (adverse effects)
  • Electrocardiography
  • Female
  • Fluorouracil (administration & dosage)
  • Heart (drug effects)
  • Humans
  • Middle Aged
  • Mitomycin
  • Mitomycins (administration & dosage)
  • Phyllodes Tumor (drug therapy)