A Case of Cardiogenic Shock after Chemotherapy with 5-Fluorouracil and Leucovorin in Rectal Cancer.
- Author:
Jee Hee YOON
1
;
Dong Hyun KIM
;
Seung Hun KIM
;
Wonyoung CHOI
;
Young Il KOH
;
Ik Joo CHUNG
;
Woo Kyun BAE
Author Information
1. Department of Internal Medicine, Chonnam National Universtiy Medical School, Gwangju, Korea. drwookyun@jnu.ac.kr
- Publication Type:Case Report
- Keywords:
5-Fluorouracil;
Cardiogenic shock;
Rectal cancer
- MeSH:
Adenocarcinoma;
Chemoradiotherapy;
Chest Pain;
Constriction, Pathologic;
Coronary Angiography;
Echocardiography;
Electrocardiography;
Fluorouracil;
Heart Diseases;
Humans;
Hypokinesia;
Leucovorin;
Middle Aged;
Rectal Neoplasms;
Shock, Cardiogenic
- From:Korean Journal of Medicine
2012;83(4):525-528
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 51-year-old man with rectal adenocarcinoma was admitted to hospital for neoadjuvant concurrent chemoradiotherapy. Three days after receiving 5-fluorouracil (425 mg/m2) and leucovorin (20 mg/m2) chemotherapy, the patient complained of chest pain. The patient had no history of cardiac disease. Electrocardiography showed ST segment elevation in leads II, III, and aVF, but the cardiac enzymes were normal. Transthoracic echocardiography revealed global hypokinesia with marked systolic dysfunction (ejection fraction 21.55%) and coronary angiography showed no significant stenosis. Unfortunately, he died of cardiogenic shock, despite intensive medical treatment.
