一剂,一面墙:隔离的隔膜下运动是由第一次接触多克索鲁比引发的
Antonio Al Hazzouri1, Omar Msaddi1, Maria Azar1
1Department of Internal Medicine, Faculty of Medicine and Medical Sciences, University of Balamand, Beirut, Lebanon.
European journal of case reports in internal medicine
|February 11, 2026
概括
像多克索鲁比一样,由环素引起的心脏毒性可能在第一剂化疗后出乎意料地发生. 这种罕见的病例突显了急性淋巴细胞白血病患者的早期心脏损伤,强调了迅速监测的必要性.
科学领域:
- 在瘤学瘤学.
- 心脏病学 心脏病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 心脏毒性是已知的抗环素化疗的不良影响之一.
- 人环素诱导的心脏毒性通常在累积剂量后表现出来.
- 第一个剂量后的早期心脏毒性很少发生,但有可能发生.
研究的目的:
- 在患有急性淋巴细胞白血病的患者中,在第一剂多克索鲁比后报告一种罕见的心脏毒性病例.
- 为了突出类型异常呈现的环素诱导的心脏毒性.
- 提高人们对早期检测和预防策略的认识.
主要方法:
- 一个年轻的男性患者患有急性淋巴细胞白血病的病例报告.
- 临床表现包括呼吸不良,胸痛和.
- 通过 transthoracic 声心成像进行诊断评估.
主要成果:
- 患者在第一剂多克索鲁比后出现心脏毒性.
- 心声检查显示左心室喷射率为40%,左心室扩张,隔离隔膜缺动.
- 患者的表现不典型,侧壁运动正常.
结论:
- 心脏毒性可以早在第一剂人环素治疗时就发生.
- 抗环素诱导的心脏毒性可能会出现不寻常的发现,例如孤立的隔膜低动症.
- 即使在初始剂量后,早期识别和监测心脏毒性至关重要.
关键词:
心脏有毒性 - 心脏有毒性环素是一种环素.心肌病性心脏病 - 心肌病性心脏病德克索鲁比辛 (doxorubicin) 是一种药物.超声心电图 (Echocardiography) 是一种心声回声仪.低动力症是一种低动力症.更多相关视频
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