A case of cardiogenic shock caused by capecitabine treatment.
キーワード
概要
BACKGROUND
A 52-year-old woman underwent successful resection of stage IIB primary mucinous adenocarcinoma of the appendix and was started on capecitabine chemotherapy. Five days into the first course, after initially experiencing diarrhea, nausea, vomiting and a transient episode of retrosternal chest pain radiating to the left scapula, she presented to the emergency department with cardiogenic shock.
METHODS
Electrocardiography, transthoracic echocardiography, laboratory investigation of cardiac biomarkers, coronary angiography and endomyocardial biopsy.
METHODS
Capecitabine-induced cardiogenic shock.
RESULTS
Supportive treatment with dopamine, milrinone, norepinephrine (noradrenaline) and levosimendan.