大剂量甲基强的松龙对慢性淋巴细胞白血病患者的心脏毒性:1例报告

Milica Apostolović-Stojanović, M. Radojković, A. Stojanovic, V. Vukomanovic
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引用次数: 0

摘要

几类药物可导致无心脏病患者心房颤动(AF),也可导致已有心脏病患者心房颤动的发生。药物性房颤在临床上最常表现为阵发性房颤。高剂量静脉注射甲基强的松龙(HDMP)治疗慢性淋巴细胞白血病(CLL)与各种不良反应的发生有关,包括房颤。HDMP诱导的房颤的确切机制尚不清楚。病例介绍:我们报告了一例CLL患者,在给予高剂量静脉注射甲基强的松龙后发生房颤。结论:医生应了解CLL治疗的特殊情况,因为药物性房颤可能是限制进一步治疗的副作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cardiotoxicity of high-dose methylprednisolone in patients with chronic lymphocytic leukemia: A case report
Introduction: Several classes of drugs can cause atrial fibrillation (AF) in patients without heart disease, as well as the occurrence of AF in pre-existing heart disease. Drug-induced AF is most often clinically manifested in the form of paroxysms. High doses of intravenous methylprednisolone (HDMP) in the treatment of chronic lymphocytic leukemia (CLL) have been associated with the occurrence of various adverse effects, including AF. The exact mechanism of HDMP-induced AF is unknown. Case presentation: We present the case of a patient with CLL in whom AF occurred after the administration of a high dose of intravenous methylprednisolone. Conclusion: Physicians should be aware of the special circumstances in the treatment of CLL, because drug-induced AF can be a side effect that limits further therapy.
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