Non-Q-wave myocardial infarction associated with bleomycin and etoposide chemotherapy.
case_report · Level V
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Abstract
During chemotherapy with bleomycin and etoposide a 28-year-old male, suffering from germ-cell cancer, developed acute myocardial infarction. Under treatment with heparin and aspirin the patient revealed no Q-waves in ECG and recovery was without complications. Four weeks after onset of infarction, thallium-201 scintigraphy showed only a small irreversible, posteroseptal perfusion defect; coronary angiography was not performed. The chemotherapy regimen was continued and modified to etoposide as well as cisplatin and ifosfamide without recurrence of cardiac symptoms or ECG changes.
Medical subject headings
- Antineoplastic Combined Chemotherapy Protocols
- Bleomycin
- Electrocardiography
- Etoposide
- Myocardial Infarction
- Neoplasms, Germ Cell and Embryonal
- Retroperitoneal Neoplasms