Journal of Investigative Medicine High Impact Case Reports (Jan 2013)

Cyclophosphamide-Induced Cardiomyopathy

  • Sumandeep Dhesi MD,
  • Michael P. Chu MD,
  • Gregg Blevins MD, FRCPC,
  • Ian Paterson MD, FRCPC,
  • Loree Larratt MD, FRCPC,
  • Gavin Y. Oudit MD, PhD, FRCPC,
  • Daniel H. Kim MD, FRCPC

DOI
https://doi.org/10.1177/2324709613480346
Journal volume & issue
Vol. 1

Abstract

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Cyclophosphamide is increasingly used to treat various types of cancers and autoimmune conditions. Higher doses of this drug may produce significant cardiac toxicity, including fatal hemorrhagic myocarditis. In this review, we present a case of cyclophosphamide-induced cardiomyopathy requiring mechanical circulatory support. We also describe the pathophysiology, clinical manifestations, and risk factors for this important clinical entity and propose early detection and management strategies.