免疫检查点抑制剂相关的恶性鼻综合征和心脏性休克
Masatake Kitano1, Makiko Yomota1, Kansuke Ito2
1Department of Thoracic Oncology and Respiratory Medicine, Tokyo Metropolitan Cancer and Infectious Diseases Center, 3-18-22 Honkomagome, Bunkyo-Ku, Tokyo 113-8677 Japan.
International cancer conference journal
|October 14, 2024
概括
免疫检查点抑制剂 (ICI) 可以引起心脏毒性,包括恶性鼻综合征. 一名患者成功地在药物诱导的胸病因心脏起器植入后继续ICI治疗.
科学领域:
- 在瘤学瘤学.
- 心脏病学 心脏病学
- 免疫学 免疫学 免疫学
背景情况:
- 免疫检查点抑制剂 (ICI) 是癌症治疗的重大进展.
- 越来越多地认识到与ICI相关的低估心脏毒性.
- 心脏毒性对继续拯救生命的ICI治疗提出了挑战.
研究的目的:
- 在接受ICI联合治疗的患者中报告严重心脏毒性病例.
- 为突出治疗因皮质病综合征和因伊皮利穆马布加尼沃卢穆马布诱导的胸肌梗塞.
- 为了证明在管理ICI诱导的心脏事件后继续ICI治疗的可行性.
主要方法:
- 一名67岁的男性患者在癌症治疗中接受了ipilimumab和nivolumab.
- 患者在治疗期间发生心脏性休克和恶性鼻综合征.
- 治疗包括暂时的静脉输入和永久的心脏起器植入,以治疗有症状的心.
主要成果:
- 患者经历了严重的胸和心脏性休克,这归因于ICI治疗.
- 成功植入心脏起器解决了症状性胸.
- 患者在心脏管理后能够继续他的ICI治疗方案.
结论:
- 心脏毒性,包括恶性鼻综合征和心肌梗塞,是伊皮利马布加尼沃马布的潜在并发症.
- 心脏起器植入是一种有效的策略,用于管理ICI诱导的胸.
- 对心脏不良事件的管理可以允许继续关键的癌症免疫治疗.
相关概念视频
Cardiomyopathy II: Dilated Cardiomyopathy
1
Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
1
Myocarditis III: Medical Management
2
Myocarditis: Comprehensive Medical ManagementMyocarditis, the heart muscle inflammation, requires a comprehensive medical management strategy that addresses the underlying cause, provides supportive care, manages symptoms, and reduces cardiac workload.Infections and Autoimmune CausesAdminister appropriate antimicrobial therapy when an infectious agent causes myocarditis. For instance, penicillin treats infections caused by Group A Streptococcus. In cases where autoimmune processes are...
2
Myocarditis IV: Nursing Management
2
Myocarditis is an inflammatory condition of the myocardium requiring meticulous nursing management for optimal patient outcomes. Effective management begins with a thorough assessment of the patient's medical history, paying close attention to past infections, autoimmune disorders, travel history, and exposure to toxins or drugs. Recent viral infections and systemic diseases are particularly relevant due to their potential role in triggering myocarditis.Physical Examination and MonitoringThe...
2
Heart Failure Drugs: Inotropic Agents
534
Positive inotropic agents are commonly used as the first line of treatment for heart failure. One such agent is digoxin, derived from the genus Digitalis, which has been known for centuries but effectively utilized since 1785. However, these cardiac glycosides can have potentially toxic effects due to their mechanism of action, which involves inhibiting Na+/K+-ATPase and increasing contractility. Digoxin is absorbed orally and distributed in various tissues, including the CNS. It has a long...
534
Cardiomyopathy V: Interprofessional Care
2
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
2
Immunodeficiency Diseases
913
Immunodeficiency disorders are conditions in which the immune system's ability to fight infectious disease and cancer is compromised or entirely absent. The immune system comprises a complex network of cells, tissues, and organs that work together to protect the body from potentially harmful invaders. When this system is deficient or not functioning properly, it leaves the body susceptible to infections, diseases, or other complications.
There are three main causes of immunodeficiency...
There are three main causes of immunodeficiency...
913


