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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Doxorubicin - Adriamycin

3

XII.f Cardiomyopathy (acute, subacute, chronic)

3
Last update : 05/10/2012
 
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Identify causative drugs
Diagnosing DIRD
1
Drug and radiation history
2
Drug singularity - Correct identification of the drug
3
Consistent timing of exposure v. onset of symptoms
4
Clinical, imaging, BAL, pathological pattern consistent with the specific drug
5
Careful exlusion of another cause
6
Remission of symptoms with removal of drug
7
Recurrence with rechallenge (rarely advisable)
8
Causality assessment
More detailed checklist
See also under
Anthracyclines
5
Transhepatic arterial chemoembolization (TACE)
3

Publications

Occult cardiotoxicity in childhood cancer survivors exposed to anthracycline therapy.
Circulation. Cardiovascular imaging 2013 Nov;6;873-80 2013 Nov
Anthracyclines and heart failure.
The New England journal of medicine 2013 Mar 21;368;1154-6 2013 Mar 21
Acute doxorubicin cardiotoxicity.
The New England journal of medicine 2005 Jun 09;352;2456-7 2005 Jun 09
Decreased cardiac toxicity of doxorubicin administered by continuous intravenous infusion in combination chemotherapy for metastatic breast carcinoma.
Cancer 1989 Jan 01;63;37-45 1989 Jan 01
The results of transvenous endomyocardial biopsy can frequently be used to diagnose myocardial diseases in patients with idiopathic heart failure. Endomyocardial biopsies in 100 consecutive patients revealed a substantial incidence of myocarditis.
Circulation 1984 Jan;69;93-101 1984 Jan
Early changes in human myocardial nuclei after doxorubicin.
Cancer 1983 Jul 15;52;215-21 1983 Jul 15
Risk factors for doxorubicin-induced congestive heart failure.
Annals of internal medicine 1979 Nov;91;710-7 1979 Nov
Doxorubicin cardiomyopathy: evaluation by phonocardiography, endomyocardial biopsy, and cardiac catheterization.
Annals of internal medicine 1978 Feb;88;168-75 1978 Feb

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