2014
DOI: 10.1111/jcpt.12237
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Reversible dilated cardiomyopathy associated with amphotericin B therapy

Abstract: We describe the first case of dilated cardiomyopathy associated with the administration of AmB in a patient without any known predisposing factor for developing cardiac dysfunction. Available evidence suggests that AmB may induce cardiotoxicity. Further investigations are needed to clarify this issue.

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Cited by 16 publications
(6 citation statements)
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“…Direct toxic cardiac damage is a rare adverse event, but reversible dilated cardiomyopathy associated with AmB treatment has been reported, especially in patients with a certain predisposing factor for heart failure. 27 …”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…Direct toxic cardiac damage is a rare adverse event, but reversible dilated cardiomyopathy associated with AmB treatment has been reported, especially in patients with a certain predisposing factor for heart failure. 27 …”
Section: Resultsmentioning
confidence: 99%
“…Direct toxic cardiac damage is a rare adverse event, but reversible dilated cardiomyopathy associated with AmB treatment has been reported, especially in patients with a certain predisposing factor for heart failure. 27 Cumulative cardiotoxicity of SbV such as sodium antimony gluconate (SAG) and AmB has been reported, causing potential severe complications including sudden death. 28 The mechanism of this cardiotoxicity is not well-defined.…”
Section: Treatmentmentioning
confidence: 99%
“…One patient was a 64-yr old man treated with LipAmb for febrile neutropenia that developed a severe global impairment of the left ventricular function with an ejection fraction (EF) of 13% that returned to 56% after discontinuation of the drug and a second patient was a 23-yr old woman with candiduria that after 8 days of LipAmb developed cardiac failure and an EF of 35% with a return to a near normal function after 1 month of drug withdrawal [4] . More recently, Soares et al described a 45-yr old man in Brazil that was treated with D-Amb for visceral leishmaniasis for 18 days that presented with cardiac failure after 5 days off the drug with a LVEF of 24% that reversed to normal after 1 month [5] . Table 1 presents these findings for patients with cardiomyopathy related to amphotericin B treatment.…”
Section: Discussionmentioning
confidence: 99%
“…In Appendix A we summarize the main/most used drugs and food supplements that can worsen the prognosis of heart failure patients; thus, it is recommended to avoid them by this category of patients [ 99 , 100 , 101 , 102 , 103 , 104 , 105 , 106 , 107 , 108 , 109 , 110 , 111 , 112 , 113 , 114 , 115 , 116 , 117 , 118 , 119 , 120 , 121 , 122 , 123 , 124 , 125 , 126 , 127 , 128 , 129 , 130 , 131 , 132 , 133 , 134 , 135 , 136 , 137 , 138 , 139 , 140 , 141 , 142 , 143 , 144 , 145 , 146 , 147 , 148 , 149 , 150 , 151 , 152 , 153 , 154 ,…”
Section: Drugs and Food Supplements That Can Aggravate Hfmentioning
confidence: 99%