Rituximab-Induced Coronary Vasospasm

Rituximab has improved the treatment of B-cell non-Hodgkin lymphomas. While it is generally well tolerated, serious adverse effects including infusion reactions with hemodynamic compromise and cardiac arrhythmias or ischemia are possible. We report a case of coronary vasospasm occurring during a r...

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Main Authors: Linda Lee, Vishal Kukreti
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Hematology
Online Access:http://dx.doi.org/10.1155/2012/984986
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author Linda Lee
Vishal Kukreti
author_facet Linda Lee
Vishal Kukreti
author_sort Linda Lee
collection DOAJ
description Rituximab has improved the treatment of B-cell non-Hodgkin lymphomas. While it is generally well tolerated, serious adverse effects including infusion reactions with hemodynamic compromise and cardiac arrhythmias or ischemia are possible. We report a case of coronary vasospasm occurring during a rituximab infusion in a patient with minimal tumour burden and who had no cardiac risk factors. This case highlights that determination of the cause of ischemia is important and may identify some patients who can be successfully rechallenged.
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publishDate 2012-01-01
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spelling doaj-art-329c79760cfc4becacca8886bea3e1572025-02-03T01:09:02ZengWileyCase Reports in Hematology2090-65602090-65792012-01-01201210.1155/2012/984986984986Rituximab-Induced Coronary VasospasmLinda Lee0Vishal Kukreti1Department of Oncology, Niagara Health System, St. Catharines, ON, L2R 2Z7, CanadaDepartment of Medical Oncology & Hematology, Princess Margaret Hospital, Room 5-227, 610 University Avenue, Toronto, ON, M5G 2M9, CanadaRituximab has improved the treatment of B-cell non-Hodgkin lymphomas. While it is generally well tolerated, serious adverse effects including infusion reactions with hemodynamic compromise and cardiac arrhythmias or ischemia are possible. We report a case of coronary vasospasm occurring during a rituximab infusion in a patient with minimal tumour burden and who had no cardiac risk factors. This case highlights that determination of the cause of ischemia is important and may identify some patients who can be successfully rechallenged.http://dx.doi.org/10.1155/2012/984986
spellingShingle Linda Lee
Vishal Kukreti
Rituximab-Induced Coronary Vasospasm
Case Reports in Hematology
title Rituximab-Induced Coronary Vasospasm
title_full Rituximab-Induced Coronary Vasospasm
title_fullStr Rituximab-Induced Coronary Vasospasm
title_full_unstemmed Rituximab-Induced Coronary Vasospasm
title_short Rituximab-Induced Coronary Vasospasm
title_sort rituximab induced coronary vasospasm
url http://dx.doi.org/10.1155/2012/984986
work_keys_str_mv AT lindalee rituximabinducedcoronaryvasospasm
AT vishalkukreti rituximabinducedcoronaryvasospasm