Key result
Bortezomib for multiple myeloma is linked to heart failure and midwall myocardial fibrosis on CMR.
Why the study?
Myocardial scarring following chemotherapy for multiple myeloma and its detection by cardiovascular magnetic resonance is not well characterized.
Population
60-year-old female treated with chemotherapy for multiple myeloma who developed heart failure
Design
Case report
Authors
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May warrant LV monitoring during bortezomib; this Level 5 case leaves open causality and need for prospective confirmation.
Late gadolinium enhancement cardiovascular magnetic resonance can detect midwall fibrosis in patients developing heart failure after bortezomib chemotherapy.
Foley et al. (2010) studied this question. Bortezomib chemotherapy for multiple myeloma was associated with heart failure and midwall myocardial fibrosis detected by gadolinium-enhanced cardiovascular magnetic resonance.
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