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Nivolumab-induced myocardial necrosis in a patient with lung cancer: A case report
Author(s) -
Takashi Sakai,
Kazuyuki Yahagi,
Tatsuhiro Hoshino,
Toshiya Yokota,
Kengo Tanabe,
Masaya Mori,
Shingo Ikeda
Publication year - 2019
Publication title -
respiratory medicine case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.42
H-Index - 14
ISSN - 2213-0071
DOI - 10.1016/j.rmcr.2019.100839
Subject(s) - medicine , nivolumab , ejection fraction , cardiology , heart failure , necrosis , lung cancer , adenocarcinoma , cancer , immunotherapy
A 74-year-old man with lung adenocarcinoma recurrence was admitted to our hospital because of dyspnea 7 days after receiving initial immunotherapy with nivolumab. Electrocardiography revealed ST-segment elevation in V1-6 and echocardiography showed a markedly reduced left ventricular ejection fraction of 9% and akinesis of the anteroseptal wall and apex. He died from acute heart failure 3 days after admission. Microscopically, multiple small foci of myocardial necrosis with few inflammatory cells were scattered in both ventricles. Obstruction of the coronary artery was not identified. We believed that the cause of death was acute heart failure possibly due to nivolumab-induced myocardial necrosis.

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