000 02556nam a22005057a 4500
008 200902s20202020 xxu||||| |||| 00| 0 eng d
022 _a1757-790X
024 _a10.1136/bcr-2020-236009 [doi]
024 _a13/7/e236009 [pii]
024 _aPMC7389772 [pmc]
040 _aOvid MEDLINE(R)
099 _a32723779
245 _aIntermittent left bundle branch block and acute heart failure in trastuzumab-induced cardiotoxicity.
251 _aBMJ Case Reports. 13(7), 2020 Jul 28.
252 _aBMJ Case Rep. 13(7), 2020 Jul 28.
252 _zBMJ Case Rep. 13(7), 2020 Jul 28.
253 _aBMJ case reports
260 _c2020
260 _fFY2021
265 _sepublish
265 _sepublish
266 _d2020-09-02
268 _aBMJ Case Reports. 13(7), 2020 Jul 28.
520 _aA 70-year-old woman with HER2+/ER+ breast cancer on adjuvant trastuzumab therapy without a history of cardiovascular disease presented with respiratory failure from influenza and was found to have intermittent left bundle branch block (LBBB) with new onset systolic heart failure. Her course was complicated by polymorphic ventricular tachycardia and recurrent chest pain. Significant investigations included a normal cardiac MRI and cardiac catheterisation with unobstructed coronaries. It was determined that the aetiology of her heart failure was trastuzumab-induced cardiotoxicity after comprehensive workup. This case highlights an uncommon presentation of LBBB and the steps taken to diagnose a rare cardiomyopathy. Copyright (c) BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.
546 _aEnglish
650 _a*Antineoplastic Agents, Immunological/ae [Adverse Effects]
650 _a*Bundle-Branch Block/ci [Chemically Induced]
650 _a*Heart Failure, Systolic/ci [Chemically Induced]
650 _a*Trastuzumab/ae [Adverse Effects]
650 _aAged
650 _aBreast Neoplasms/ch [Chemistry]
650 _aBreast Neoplasms/dt [Drug Therapy]
650 _aBundle-Branch Block/pp [Physiopathology]
650 _aCardiotoxicity/co [Complications]
650 _aElectrocardiography
650 _aFemale
650 _aHumans
651 _aMedStar Washington Hospital Center
656 _aMedicine/Internal Medicine
657 _aJournal Article
700 _aMasson, Ravi
790 _aBakhshi H, Haddad TM, Masson R
856 _uhttps://dx.doi.org/10.1136/bcr-2020-236009
_zhttps://dx.doi.org/10.1136/bcr-2020-236009
942 _cART
_dArticle
999 _c5487
_d5487