| Título : |
Chloroquine cardiomyopathy: beyond ocular adverse effects |
| Tipo de documento : |
documento electrónico |
| Autores : |
Nilson López Ruiz, |
| Fecha de publicación : |
2014 |
| Títulos uniformes : |
BMJ Case Reports
|
| Idioma : |
Inglés (eng) |
| Resumen : |
A 36-year-old woman who had received long-term treatment with chloroquine for systemic lupus erythematosus developed a third degree atrioventricular block and required a permanent pacemaker. Notably, left ventricular thickening and mild systolic dysfunction were noticed on echocardiography as well as on cardiac MRI. As there was no clear explanation for myocardial findings, the patient underwent an endomyocardial biopsy that demonstrated vacuolar degeneration of myocytes on light microscopy and curvilinear bodies on electron microscopy, both findings consistent with chloroquine toxicity. The drug was withheld and treatment with candesartan and carvedilol was prescribed. At 2-year follow-up, the patient remained asymptomatic and left ventricular systolic function had improved. Physicians who prescribe antimalarial drugs for rheumatic diseases should be aware of the potentially life threatening effects of chloroquine on the heart. |
| Mención de responsabilidad : |
Nilson Lopez-Ruiz, Carlos Esteban Uribe |
| Referencia : |
BMJ Case Rep. 2014 Sep 15;2014. |
| DOI (Digital Object Identifier) : |
10.1136/bcr-2014-205751 |
| PMID : |
25225192 |
| En línea : |
https://casereports.bmj.com/content/2014/bcr-2014-205751 |
| Enlace permanente : |
https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3835 |
Chloroquine cardiomyopathy: beyond ocular adverse effects [documento electrónico] / Nilson López Ruiz, . - 2014. Obra : BMJ Case ReportsIdioma : Inglés ( eng) | Resumen : |
A 36-year-old woman who had received long-term treatment with chloroquine for systemic lupus erythematosus developed a third degree atrioventricular block and required a permanent pacemaker. Notably, left ventricular thickening and mild systolic dysfunction were noticed on echocardiography as well as on cardiac MRI. As there was no clear explanation for myocardial findings, the patient underwent an endomyocardial biopsy that demonstrated vacuolar degeneration of myocytes on light microscopy and curvilinear bodies on electron microscopy, both findings consistent with chloroquine toxicity. The drug was withheld and treatment with candesartan and carvedilol was prescribed. At 2-year follow-up, the patient remained asymptomatic and left ventricular systolic function had improved. Physicians who prescribe antimalarial drugs for rheumatic diseases should be aware of the potentially life threatening effects of chloroquine on the heart. |
| Mención de responsabilidad : |
Nilson Lopez-Ruiz, Carlos Esteban Uribe |
| Referencia : |
BMJ Case Rep. 2014 Sep 15;2014. |
| DOI (Digital Object Identifier) : |
10.1136/bcr-2014-205751 |
| PMID : |
25225192 |
| En línea : |
https://casereports.bmj.com/content/2014/bcr-2014-205751 |
| Enlace permanente : |
https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3835 |
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Chloroquine cardiomyopathy: beyond ocular adverse effects
