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October 1, 1999American Journal of Clinical Oncology

Severe Cardiotoxicity During 5-Fluorouracil Chemotherapy

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Key result

5-fluorouracil chemotherapy caused sudden onset of severe cardiac failure in a 23-year-old patient, with biopsy showing sarcoplasmic reticulum proliferation and marked vacuolization.

Population

1 previously healthy 23-year-old patient with squamous cell carcinoma of the tongue

Design

Case_report

Authors

CKC KuropkatRush University Medical CenterKGKatherine L. GriemRush University Medical CenterJCJames J. ClarkImperial College Healthcare NHS Trust

Discussion

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Implication

Alerts clinicians to rare acute nonischemic HF with 5-FU even in young adults; single case leaves open questions on incidence and prevention.

Study Design

Type

Case Report (n=1)

Structured PICO

P
Population
A previously healthy 23-year-old patient with squamous cell carcinoma of the tongue who developed severe cardiac failure during 5-fluorouracil treatment.
E
Exposure
5-fluorouracil (5-FU) chemotherapy
O
Outcome
Severe cardiac failure and endomyocardial biopsy findingssafety

This case report highlights the potential for severe, non-ischemic heart failure induced by 5-fluorouracil, supported by endomyocardial biopsy findings.

Cite This Study

Kuropkat et al. (1999) conducted a case report in Squamous cell carcinoma of the tongue (n=1). 5-fluorouracil (5-FU) was evaluated. 5-fluorouracil chemotherapy caused sudden onset of severe cardiac failure in a 23-year-old patient, with biopsy showing sarcoplasmic reticulum proliferation and marked vacuolization.

synapsesocial.com/papers/6a99b69f54c4ab2d0d09467chttps://doi.org/10.1097/00000421-199910000-00009
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cardiotoxicity as a Result of 5-Fluorouracil Therapy1985 · 24 citations
  2. 25-Fluorouracil-associated cardiotoxicity1988 · 122 citations
  3. 3Cardiac Toxicity of 5-Fluorouracil: A Study on 1083 Patients1982 · 287 citations
  4. 4Cardiotoxicity as a Result of 5-Fluorouracil Therapy1985 · 25 citations